Behaviour change among people with impaired glucose tolerance: Comparison of telephone-based and face-to-face advice. (April 2013)

• Record Type: Journal Article
• Authors: Betzlbacher, Anna-Franziska; Grady, Katherine; Savas, Linda; Cotterill, Sarah; Boaden, Ruth; Summers, Lucinda; Gibson, Martin
• Is Part Of: Journal of health services research & policy. Volume 18:Number 1(2013)Supplement
• Page Start: 2
• Page End: 6
• Publication Date: 2013-04
• Subjects: behaviour change -- diabetes prevention -- lifestyle interventions; Medical care -- Periodicals; Medical policy -- Periodicals; Public health -- Periodicals; 362.105
• DOI: 10.1177/1355819612473582
• Languages: English
• ISSNs: 1355-8196

Abstract

Objectives: To develop, implement and compare two lifestyle services for people at risk of developing type 2 diabetes. Methods: Two localities were selected to implement two different service delivery models, telephone-based and face-to-face, supporting people at risk of developing type 2 diabetes. Impact was assessed by comparing weight, fasting plasma glucose and oral glucose tolerance test (OGTT) results at baseline and six months later. Results: Both services were associated with an improvement in OGTT 2-h plasma glucose and weight. In the telephone intervention, 47.3% of participants who completed the project achieved both normal fasting plasma glucose (≤6.0 mmol/l) and normal plasma glucose levels (≤7.7 mmol/l). Participants had a mean weight loss of 3.3 kg ( SD 4.3), equating to 3.4% of body weight ( p < 0.001). In the face-to-face intervention, 46.3% of participants achieved normal plasma glucose (≤7.7 mmol/l) and a mean weight loss of 2.9 kg ( SD 4.5), equating to 3.1% of bodyweight ( p < 0.001). Conclusions: Local health providers can adapt existing service provision and tailor it to provide lifestyle programmes for people with impaired glucose tolerance. Both service delivery models offer effective diabetes prevention although each model may cater for different population needs and a choice of services might be the preferred option.