Obesity and Type 2 Diabetes - Raising the Issue of Weight Management in Primary Care

NCT03360058 | Completed

• 1 other identifier: GN17DI319
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

To ensure that patients who are overweight or obese and have type 2 diabetes are identified, receive personalised diabetes care, have the issue of weight raised and explained in a non-judgemental manner by staff in primary care, and are referred on to weight management services as appropriate ensuring equity of access across NHS Greater Glasgow and Clyde. Specific aims of the whole project:

1. 1.To improve GP/ primary care staff knowledge of the evidence base for the management of diabetes when there is co-existing obesity and local care pathways
2. 2.To increase GP/ primary care staff knowledge of and confidence in their role in raising the issue of weight management,
3. 3.To improve primary care referral rates of appropriate patients who are overweight or obese and have type 2 diabetes, and are "ready to change" to NHS funded weight management services
4. 4.To improve patient uptake of and attendance at NHS funded weight management services NB This is a service evaluation of a training programme being delivered by NHS Greater Glasgow and Clyde Health Improvement. Full ethical approvals are being sought due to the randomised design and so that results can be generalised and published.

Conditions

Weight Management; Diabetes Mellitus, Type 2

Keywords

motivational techniques; primary care

Outcome Measures

Primary Outcomes (1)

• Measure the effectiveness of an online training programme, practice implementation toolkit and face to face training for primary care staff

  which will be measured as number of patient referrals and patient attendance at NHS funded weight management services

  12 months

Secondary Outcomes (3)

• Implementation/ Normalization

  12 months

• Percentage of diabetes reviews with recorded weight management discussion in LES template

  12 months

• Training uptake

  12 months

Study Arms (2)

Immediate access to STBD training

EXPERIMENTAL

Immediate access to training materials and print pieces to support implementation

Behavioral: Small Talk Big Difference Immediate access training

Delayed access to STBD training

PLACEBO COMPARATOR

Delayed access to training materials and print pieces

Behavioral: Small Talk Big Difference delayed access training

Interventions

Small Talk Big Difference Immediate access training BEHAVIORAL

Immediate access to 1 hour online training and supporting print materials for implementation in primary care practice

Immediate access to STBD training

Small Talk Big Difference delayed access training BEHAVIORAL

Delayed access (by 4 months) to 1 hour online training and supporting print materials for implementation in primary care practice

Delayed access to STBD training

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• GP practices in NHS Greater Glasgow and Clyde which:
• Have a contract for local enhanced services for long term conditions (Diabetes)
• Have a unique clinical database (i.e. not shared with another practice)

You may not qualify if:

• "17c" practices (those with a separate contract for long term conditions)
• Those practices with a database shared with another practice (8 practices in area)

Sponsors & Collaborators

• NHS Greater Glasgow and Clyde: lead
• University of Glasgow: collaborator

Study Sites (1)

Glasgow Cardiovascular Research Centre

Glasgow, Scotland, G12 8TA, United Kingdom

Location

Related Publications (1)

• Brooksbank K, O'Donnell J, Corbett V, Shield S, Ainsworth R, Shearer R, Montgomery S, Gallagher A, Duncan H, Hamilton L, Laszlo V, Noone R, Baxendale A, Blane D, Logue J. Discussing Weight Management With Type 2 Diabetes Patients in Primary Care Using the Small Talk Big Difference Intervention: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2019 Feb 15;8(2):e12162. doi: 10.2196/12162.

  PMID: 30767902 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Officials

• Jennifer Logue, MBChB PhD

  Glasgow University and NHS GGC

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Primary care practices are either assigned to immediate or delayed access to the online training and print pieces with the delayed group acting as our controls for number of referral to weight management services per practice

Study Record Dates

• First Submitted: November 27, 2017
• First Posted: December 2, 2017
• Study Start: October 7, 2017
• Primary Completion: November 1, 2018
• Study Completion: November 1, 2018
• Last Updated: November 23, 2018

Record last verified: 2018-11

Locations

GB (1)