Randomised Trial of Health Coaching in Secondary Prevention of Diabetes and Heart Disease

Paijat-Hame Hospital District1,500 enrolled

Overview

A randomised trial with individual patients as units of observation will be carried out. Health coaching is used to modify health behaviour and thus improve disease control and health status, as well as use of health care services. A personal health coach is assigned to each patient and they are in weekly contact through telephone. The intervention lasts for 12 months. No intervention is offered to the patients in the control arm.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

1,500

Conditions

Diabetes Mellitus, Type 2 Heart Failure Coronary Disease

Interventions

Health coachingBEHAVIORAL

Personal health coach providing advice and counselling by telephone, weekly contacts

Eligibility

Sex: ALLMin age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of type 2 diabetes (medication and HbA1c\>7% and no cardiovascular disease), coronary artery disease (history of myocardial infarction or revascularisation) or heart failure (NYHA II-III and admitted in a hospital for the condition within 2 years) * Aged 45 years or older * Resident in the Päijät-Häme health care district Exclusion Criteria: * Classified as ineligible by primary care physician * Unable to co-operate or participate in health coaching * Major elective surgery planned within 6 months * History of major surgery within past 2 years * Life expectancy \<1 year * Pregnancy

Locations (1)

Päijät-Hämeen Sosiaali - ja Terveysyhtymä

Lahti, Finland

Outcomes

Primary Outcomes

Blood pressure at target level (140/85 or lower), total cholesterol at target level (4.5 mmol/l or lower), LDL cholesterol at target level (2.5 mmol/l or below), waist circumference at target level (<=94 men, <=80 cm women)

Time frame: 12 months from start of intervention

For patients with diabetes: blood HbA1c at target level (7% or less)

Time frame: 12 months from start of intervention

Secondary Outcomes

Improvement in body mass index, health-related quality of life (15D instrument), amount of exercise, diet, smoking cessation; for patients with heart failure also use of emergency services and NYHA class

Time frame: 12 months from start of intervention

Data from ClinicalTrials.gov

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