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Randomised controlled trial of an automated, interactive telephone intervention (TLC Diabetes) to improve type 2 diabetes management: baseline findings and six-month outcomes.

Williams, Emily, Bird, D, Forbes, AW, Russell, Anthony, Ash, Susan, Friedman, Robert, Scuffham, Paul A and Oldenburg, Brian (2012) Randomised controlled trial of an automated, interactive telephone intervention (TLC Diabetes) to improve type 2 diabetes management: baseline findings and six-month outcomes. BMC Public Health, 12:602. pp. 1-11.

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Abstract

Background Effective self-management of diabetes is essential for the reduction of diabetes-related complications, as global rates of diabetes escalate. Methods Randomised controlled trial. Adults with type 2 diabetes (n = 120), with HbA1c greater than or equal to 7.5 %, were randomly allocated (4 × 4 block randomised block design) to receive an automated, interactive telephone-delivered management intervention or usual routine care. Baseline sociodemographic, behavioural and medical history data were collected by self-administered questionnaires and biological data were obtained during hospital appointments. Health-related quality of life (HRQL) was measured using the SF-36. Results The mean age of participants was 57.4 (SD 8.3), 63% of whom were male. There were no differences in demographic, socioeconomic and behavioural variables between the study arms at baseline. Over the six-month period from baseline, participants receiving the Australian TLC (Telephone-Linked Care) Diabetes program showed a 0.8% decrease in geometric mean HbA1c from 8.7% to 7.9%, compared with a 0.2% HbA1c reduction (8.9% to 8.7%) in the usual care arm (p = 0.002). There was also a significant improvement in mental HRQL, with a mean increase of 1.9 in the intervention arm, while the usual care arm decreased by 0.8 (p = 0.007). No significant improvements in physical HRQL were observed. Conclusions These analyses indicate the efficacy of the Australian TLC Diabetes program with clinically significant post-intervention improvements in both glycaemic control and mental HRQL. These observed improvements, if supported and maintained by an ongoing program such as this, could significantly reduce diabetes-related complications in the longer term. Given the accessibility and feasibility of this kind of program, it has strong potential for providing effective, ongoing support to many individuals with diabetes in the future.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Williams, Emilye.d.williams@surrey.ac.ukUNSPECIFIED
Bird, DUNSPECIFIEDUNSPECIFIED
Forbes, AWUNSPECIFIEDUNSPECIFIED
Russell, AnthonyUNSPECIFIEDUNSPECIFIED
Ash, SusanUNSPECIFIEDUNSPECIFIED
Friedman, RobertUNSPECIFIEDUNSPECIFIED
Scuffham, Paul AUNSPECIFIEDUNSPECIFIED
Oldenburg, BrianUNSPECIFIEDUNSPECIFIED
Date : 3 August 2012
Copyright Disclaimer : © Williams et al.; licensee BioMed Central Ltd. 2012
Depositing User : Jane Hindle
Date Deposited : 03 Jul 2017 08:25
Last Modified : 03 Jul 2017 08:25
URI: http://epubs.surrey.ac.uk/id/eprint/841538

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