التفاصيل البيبلوغرافية
| العنوان: |
Effects of telephone-delivered lifestyle support on the development of diabetes in participants at high risk of type 2 diabetes: J-DOIT1, a pragmatic cluster randomised trial |
| المؤلفون: |
Sakane, Naoki, Kotani, Kazuhiko, Takahashi, Kaoru, Sano, Yoshiko, Tsuzaki, Kokoro, Okazaki, Kentaro, Sato, Juichi, Suzuki, Sadao, Morita, Satoshi, Oshima, Yoshitake, Izumi, Kazuo, Kato, Masayuki, Ishizuka, Naoki, Noda, Mitsuhiko, Kuzuya, Hideshi |
| المساهمون: |
森田, 智視 |
| بيانات النشر: |
BMJ Publishing Group |
| سنة النشر: |
2015 |
| المجموعة: |
Kyoto University Research Information Repository (KURENAI) / 京都大学学術情報リポジトリ |
| الوصف: |
Objectives: To examine the effects of telephonedelivered lifestyle coaching on preventing the development of type 2 diabetes mellitus (T2DM) in participants with impaired fasting glucose (IFG). Design: Cluster randomised trial. Setting: 40 groups from 17 healthcare divisions in Japan: companies (31), communities (6) and mixed settings (3). Participants: Participants aged 20-65 years with fasting plasma glucose (FPG) of 5.6-6.9 mmol/L were invited from the 17 healthcare divisions. Randomisation: The groups were then randomly assigned to an intervention or a control arm by independent statisticians according to a computergenerated list. Intervention: The intervention arm received a 1-year telephone-delivered intervention provided by three private lifestyle support centres (at different frequencies: low-frequency (3 times), middle-frequency (6 times) and high-frequency (10 times) support calls). The intervention and control arms both received selfhelp devices such as a weight scale and pedometer. Outcomes: Participants were followed up using data from annual health check-ups and a questionnaire regarding lifestyle. The primary outcome was the development of T2DM defined as FPG ≥7.0 mmol/L, the diagnosis of diabetes, or use of an antidiabetic drug, confirmed by referring to medical cards. Results: Of 14 473 screened individuals, participants were enrolled in either the intervention (n=1240) arm or control (n=1367) arm. Overall, the HR for the development of T2DM in the intervention arm during 5.5 years was 1.00 (95% CI 0.74 to 1.34). In the subanalysis, the HR was 0.59 (95% CI 0.42 to 0.83) in the subgroup that received phone calls the most frequently, compared with the control arm. A limitation of the study includes a lack of blinding. Conclusions: High-frequency telephone-delivered lifestyle support could effectively prevent T2DM in participants with IFG in a primary healthcare setting, although low-frequency and middle-frequency phone calls did not. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| تدمد: |
2044-6055 |
| العلاقة: |
http://hdl.handle.net/2433/216067Test; BMJ Open; e007316 |
| الإتاحة: |
http://hdl.handle.net/2433/216067Test |
| حقوق: |
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
| رقم الانضمام: |
edsbas.563D6BFC |
| قاعدة البيانات: |
BASE |
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