The primary objective of the CORDIA study is to use an effective evidence-based self-management intervention (SMI) for type 2 diabetes, with and without a novel test to give a personalised genetic and lifestyle risk of coronary heart disease, to examine their capacity to reduce the risk of coronary heart disease (CHD) and improve diabetes management in primary care patients with type 2 diabetes. The effect of these interventions on clinical, behavioural and psychological outcomes will be investigated.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
211
The SMI will incorporate a discussion to introduce self-management and why it is important, and about problems associated with reducing CHD risk and managing type 2 diabetes. Specific topics addressed will include health behaviours to reduce CHD risk and manage diabetes including diet and exercise, as well as behaviours specific to managing diabetes, including medication adherence and self-care behaviours (e.g. footcare). Sessions are patient-directed and employ a shared decision-making approach, such that participants work with one another and the practice nurse facilitator to identify specific problems that they wish to address, and to identify solutions and approaches to managing their diabetes and CHD risk
Participants will receive in-person personalised feedback about their combined genetic and lifestyle 10 year risk for developing CHD.
Addison House Surgery
Harlow, Essex, United Kingdom
Church Street Surgery
Ware, Essex, United Kingdom
Dolphin House Surgery
Ware, Essex, United Kingdom
Wallace House Surgery
Coronary heart disease 10 year risk
Coronary heart disease 10 year risk as assessed using the United Kingdon Prospective Diabetes Study (UKPDS) Risk Calculator
Time frame: 12 months
Psycho-social impact of the intervention
Psycho-social impact of the intervention conditions will be assessed using questionnaires designed to measure risk perception, self-efficacy, and motivation. Feelings of anxiety and depression will also be assessed.
Time frame: 12 months
Health behaviour impact of the intervention
The impact of the intervention conditions on health behaviours including diet, exercise and smoking behaviour will be assessed in addition to a range of diabetes self-care behaviours such as foot care and blood glucose self-monitoring.
Time frame: 12 months
Impact of receiving genetic results
The impact of receiving genetic test results using a modified version of the Multidimensional Impact of Cancer Risk Assessment (MICRA) questionnaire.
Time frame: 6 months
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Hertford, Hertfordshire, United Kingdom
Cambridgeshire Community Services NHS Trust
Cambridgeshire, United Kingdom
Chesterfield Drive Surgery
Ipswich, United Kingdom
Martlesham health Surgery
Ipswich, United Kingdom
Dr Taylor and Partners
Woodbridge Suffolk, United Kingdom
The Peninsula Practice
Woodbridge Suffolk, United Kingdom
Wickham Market Medical Centre
Woodbridge Suffolk, United Kingdom