TY - JOUR
T1 - Effect of a group-based rehabilitation programme on glycaemic control and cardiovascular risk factors in type 2 diabetes patients: The Copenhagen Type 2 Diabetes Rehabilitation Project
AU - Vadstrup, Eva Soelberg
AU - Frølich, Anne
AU - Perrild, Hans Jørgen Duckert
AU - Borg, Eva
AU - Røder, Michael
N1 - Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
PY - 2011/8/1
Y1 - 2011/8/1
N2 - Objective: To compare the effectiveness of a group-based rehabilitation programme with an individual counselling programme at improving glycaemic control and cardiovascular risk factors among patients with type 2 diabetes. Methods: We randomised 143 adult type 2 diabetes patients to either a 6-month multidisciplinary group-based rehabilitation programme or a 6-month individual counselling programme. Outcome measures included glycated haemoglobin (HbA 1c), blood pressure, lipid profile, weight, and waist circumference. Results: Mean HbA 1c decreased 0.3%-point (95% confidence interval [CI]=-0.5, -0.1) in the rehabilitation group and 0.6%-point (95% CI=-0.8, -0.4) among individual counselling participants (p<0.05). Within both groups, equal reductions occurred in body weight, waist circumference, systolic blood pressure and diastolic blood pressure, but no significant between-group differences between occurred for any of the cardiovascular outcomes. The group-based rehabilitation programme consumed twice as many personnel resources. Conclusion: The group-based rehabilitation programme resulted in changes in glycaemic control and cardiovascular risk factor reduction that were equivalent or inferior to those of an individual counselling programme. Practice implications: The group-based rehabilitation programme, tested in the current design, did not offer additionally improved outcomes and consumed more personnel resources than the individual counselling programme; its broad implementation is not supported by this study. Trial registration Clinicaltrials.gov NCT00284609.
AB - Objective: To compare the effectiveness of a group-based rehabilitation programme with an individual counselling programme at improving glycaemic control and cardiovascular risk factors among patients with type 2 diabetes. Methods: We randomised 143 adult type 2 diabetes patients to either a 6-month multidisciplinary group-based rehabilitation programme or a 6-month individual counselling programme. Outcome measures included glycated haemoglobin (HbA 1c), blood pressure, lipid profile, weight, and waist circumference. Results: Mean HbA 1c decreased 0.3%-point (95% confidence interval [CI]=-0.5, -0.1) in the rehabilitation group and 0.6%-point (95% CI=-0.8, -0.4) among individual counselling participants (p<0.05). Within both groups, equal reductions occurred in body weight, waist circumference, systolic blood pressure and diastolic blood pressure, but no significant between-group differences between occurred for any of the cardiovascular outcomes. The group-based rehabilitation programme consumed twice as many personnel resources. Conclusion: The group-based rehabilitation programme resulted in changes in glycaemic control and cardiovascular risk factor reduction that were equivalent or inferior to those of an individual counselling programme. Practice implications: The group-based rehabilitation programme, tested in the current design, did not offer additionally improved outcomes and consumed more personnel resources than the individual counselling programme; its broad implementation is not supported by this study. Trial registration Clinicaltrials.gov NCT00284609.
U2 - 10.1016/j.pec.2010.06.031
DO - 10.1016/j.pec.2010.06.031
M3 - Journal article
SN - 0738-3991
VL - 84
SP - 185
EP - 190
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -
