Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care

• DOI: 10.1136/bmj.e2333
• Publication Date: 2012-04-26T22:58:55Z
• Authors: K. Khunti; L. J. Gray; T. Skinner; M. E. Carey; K. Realf; H. Dallosso; H. Fisher; M. Campbell; S. Heller; M. J. Davies
• Keywords: Depression; Glycated hemoglobin

<b>Objective</b> To measure whether the benefits of a single education and self management structured programme for people with newly diagnosed type 2 diabetes mellitus are sustained at three years. <b>Design</b> Three year follow-up multicentre cluster randomised controlled trial in primary care, randomisation practice level. <b>Setting</b> 207 general practices 13 care sites United Kingdom. <b>Participants</b> 731 824 participants included original were eligible follow-up. Biomedical data collected on 604 (82.6%) questionnaire 513 (70.1%) participants. <b>Intervention</b> A group six hours delivered community by two trained healthcare professional educators compared usual care. <b>Main outcome measures</b> The was glycated haemoglobin (HbA_1c) levels. secondary outcomes blood pressure, weight, lipid levels, smoking status, physical activity, quality life, beliefs about illness, depression, emotional impact diabetes, drug use <b>Results</b> HbA_1c levels years had decreased both groups. After adjusting baseline difference not significant (difference −0.02, 95% confidence interval −0.22 to 0.17). groups did differ other biomedical lifestyle use. intervention across four out five health seen 12 months (P&lt;0.01). Depression scores life <b>Conclusion</b> showed no or although there improvements some illness beliefs. <b>Trial registration</b> Current Controlled Trials ISRCTN17844016.