Trial Outcomes & Findings for Diabetes Prevention Using SMS Technology (NCT NCT01795833)

NCT ID: NCT01795833

Last Updated: 2020-10-30

Results Overview

The primary outcome will be progression to type 2 diabetes as measured by HbA1c at baseline, 6 months, 12 months and 24 months or by any validated criteria in any other care setting. the World health Organization (WHO) / International Diabetes Federation (IDF) criteria for diagnosis of diabetes will be used throughout.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2062 participants

Primary outcome timeframe

24 months

Results posted on

2020-10-30

Participant Flow

Participant milestones

Participant milestones
Measure
Text Messages
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Overall Study
STARTED
1031
1031
Overall Study
COMPLETED
881
882
Overall Study
NOT COMPLETED
150
149

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Text Message - India
n=584 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Text Message - UK
n=447 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control - India
n=587 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Control - UK
n=444 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Total
n=2062 Participants
Total of all reporting groups
Age, Continuous
45.8 years
STANDARD_DEVIATION 5.4 • n=584 Participants
60.3 years
STANDARD_DEVIATION 9.4 • n=447 Participants
45.8 years
STANDARD_DEVIATION 5.4 • n=587 Participants
60.2 years
STANDARD_DEVIATION 9.3 • n=444 Participants
53 years
STANDARD_DEVIATION 7.3 • n=2062 Participants
Sex: Female, Male
Female
142 Participants
n=584 Participants
231 Participants
n=447 Participants
142 Participants
n=587 Participants
228 Participants
n=444 Participants
743 Participants
n=2062 Participants
Sex: Female, Male
Male
442 Participants
n=584 Participants
216 Participants
n=447 Participants
445 Participants
n=587 Participants
216 Participants
n=444 Participants
1319 Participants
n=2062 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United Kingdom
0 participants
n=584 Participants
447 participants
n=447 Participants
0 participants
n=587 Participants
444 participants
n=444 Participants
891 participants
n=2062 Participants
Region of Enrollment
India
584 participants
n=584 Participants
0 participants
n=447 Participants
587 participants
n=587 Participants
0 participants
n=444 Participants
1171 participants
n=2062 Participants
HbA1c
43.6 mmol/mol
STANDARD_DEVIATION 1.4 • n=584 Participants
43.8 mmol/mol
STANDARD_DEVIATION 1.4 • n=447 Participants
43.5 mmol/mol
STANDARD_DEVIATION 1.4 • n=587 Participants
43.8 mmol/mol
STANDARD_DEVIATION 1.4 • n=444 Participants
43.7 mmol/mol
STANDARD_DEVIATION 1.4 • n=2062 Participants

PRIMARY outcome

Timeframe: 24 months

The primary outcome will be progression to type 2 diabetes as measured by HbA1c at baseline, 6 months, 12 months and 24 months or by any validated criteria in any other care setting. the World health Organization (WHO) / International Diabetes Federation (IDF) criteria for diagnosis of diabetes will be used throughout.

Outcome measures

Outcome measures
Measure
Text Messages
n=1031 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
n=1031 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Number of Participants With Progression to Type 2 Diabetes
216 Participants
234 Participants

SECONDARY outcome

Timeframe: Baseline and 24 months

Outcome measures

Outcome measures
Measure
Text Messages
n=1031 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
n=1031 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Body Weight
Baseline
79 kg
Standard Deviation 15.4
79.7 kg
Standard Deviation 15.6
Body Weight
24 months
77.4 kg
Standard Deviation 14.7
78.1 kg
Standard Deviation 14.9

SECONDARY outcome

Timeframe: Baseline and 24 months

Outcome measures

Outcome measures
Measure
Text Messages
n=1031 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
n=1031 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Blood Pressure
Baseline Systolic
128.8 mmHg
Standard Deviation 17
129.3 mmHg
Standard Deviation 16.8
Blood Pressure
Baseline Diastolic
81 mmHg
Standard Deviation 10.6
81.5 mmHg
Standard Deviation 10.6
Blood Pressure
24 month Systolic
124.7 mmHg
Standard Deviation 16.1
124.8 mmHg
Standard Deviation 16.8
Blood Pressure
24 month Diastolic
79.4 mmHg
Standard Deviation 9.1
79.6 mmHg
Standard Deviation 9.3

SECONDARY outcome

Timeframe: Baseline and 24 months

Outcome measures

Outcome measures
Measure
Text Messages
n=1031 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
n=1031 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
HDL Cholesterol
Baseline
1.2 mmol/L
Standard Deviation 0.4
1.2 mmol/L
Standard Deviation 0.4
HDL Cholesterol
24 months
1.2 mmol/L
Standard Deviation 0.4
1.2 mmol/L
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline and 24 months

Outcome measures

Outcome measures
Measure
Text Messages
n=1031 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
n=1031 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
LDL Cholesterol
Baseline
3.1 mmol/L
Standard Deviation 0.9
3.0 mmol/L
Standard Deviation 0.9
LDL Cholesterol
24 months
3.1 mmol/L
Standard Deviation 0.9
3.1 mmol/L
Standard Deviation 0.9

SECONDARY outcome

Timeframe: Baseline and 24 months

Outcome measures

Outcome measures
Measure
Text Messages
n=1031 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
n=1031 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Triglycerides
Baseline
1.3 mmol/L
Interval 1.0 to 1.8
1.3 mmol/L
Interval 1.0 to 1.8
Triglycerides
24 months
1.3 mmol/L
Interval 1.0 to 1.8
1.3 mmol/L
Interval 1.0 to 1.9

SECONDARY outcome

Timeframe: Baseline and 24 months

counts/minute, actigraph

Outcome measures

Outcome measures
Measure
Text Messages
n=1031 Participants
Short text messages related to healthy lifestyle will be sent to half the subjects three times per week, in addition to one off 'one-to-one structured education' during the study period. Short text messages: In addition to structured education on healthy lifestyle provided at baseline, subjects in the arm will receive short text messages containing educational, motivational and supportive content on diet, physical activity, and smoking (if appropriate) during the study period. The content will be appropriate to the stage of the transtheoretical model of behavioural change that the subject is in. This will be assessed by questionnaire at each visit to clinic.
Control
n=1031 Participants
Half of the subjects who has received only one off 'one-to-one structured education about healthy lifestyle during the study period
Total Physical Activity
Baseline
409 counts/minute
Standard Deviation 127.6
412.2 counts/minute
Standard Deviation 122.5
Total Physical Activity
24 months
396.5 counts/minute
Standard Deviation 124.7
400.9 counts/minute
Standard Deviation 125.5

Adverse Events

Text Messages

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Nick Oliver

Imperial College London

Phone: 02033111093

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place