Using family history as a tool to increase risk awareness and to motivate preventive behaviour of individuals at risk for diabetes type two

ISRCTN ISRCTN20442834
DOI https://doi.org/10.1186/ISRCTN20442834
Secondary identifying numbers NTR761
Submission date
22/11/2006
Registration date
22/11/2006
Last edited
09/04/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr L Henneman
Scientific

Vu Medical Center
Department of Public Health
P.O. Box 7057
Amsterdam
1007 MB
Netherlands

Phone +31 (0)20 4449815
Email l.henneman@vumc.nl

Study information

Study designRandomised single-blind active-controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Scientific title
Study hypothesisAs a result of the intervention we hypothesise that:

1. Due to a tailored consultation provided by a counsellor, containing information on the causes and consequences of Diabetes Mellitus type Two (DM2) (with emphasis on familial risk) (intervention group compared to control group):
1.1. Perceived risk will increase due to an improved perception of the nature and height of the risk
1.2. People’s perceptions of the causes and consequences of DM2 will be more accurate
1.3. Perceived severity of DM2 will increase due to more insight into the consequences of DM2
1.4. A higher protection motivation is expected
2. Due to risk reduction information (information on preventive options) (both groups) perceived controllability (or response efficacy) will increase because of increased understanding that the risk can be reduced due to behaviour change
Ethics approval(s)Received from local medical ethics committee
ConditionDiabetes mellitus type two (DM type II)
InterventionThe intervention consists of tailored information (risk communication) on the causes and consequences of DM2 such as cardiovascular disease (with emphasis on familial risk). It will be emphasised that it is even more important to change behaviour, because of a positive family history (which cannot be changed). The consultation is based on a counselling model and is presented by a trained counsellor. Our group has gained extensive experiences in the field of genetic counselling for e.g. familial risk of breast cancer, cystic fibrosis.

The underlying goal of the intervention is to change people's perceptions of risk, and perceived causes and consequences of DM2 to increase their motivation to change behaviour. In addition, all participants receive information on preventive options to help them see how they can cope with their risk (increase controllability).

To analyse the effect of the intervention, subjects are randomly allocated to the intervention or control group:
1. Information on the causes and consequences of DM2 (with emphasis on familial risk) and intensive risk reduction information (intervention group)
2. General risk information and intensive risk reduction information (control group)
Intervention typeOther
Primary outcome measureProtection motivation: Intention to engage in DM2 risk-reducing behaviour. Three core behavioural intentions will be assessed:
1. Increasing physical activity
2. Restricting calories by eating low fat foods
3. Follow subsequent advice to screening for diabetes

Stopping smoking and reducing alcohol intake will also be assessed when relevant. For each participant, intentions towards the three core behaviours will be measured and combined to assess overall motivation to reduce risk.
Secondary outcome measures1. Illness representations
2. Perceived severity of diabetes
3. Perceived risk of getting diabetes
4. Coping appraisal: self-efficacy
5. Self-reported health behaviour
6. Psychological well-being: Positive And Negative Affect Scale (PANAS).
Overall study start date01/11/2006
Overall study end date01/06/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants90
Participant inclusion criteria1. Positive family history
2. Symptom Risk Questionnaire Scores more than ten (highest expected effects from the intervention)
3. Aged less than 75 years (born after 01/01/1931)
Participant exclusion criteria1. People with diagnosed DM2
2. People unable to complete questionnaires in Dutch
Recruitment start date01/11/2006
Recruitment end date01/06/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Vu Medical Center
Amsterdam
1007 MB
Netherlands

Sponsor information

Vrije University Medical Centre (VUMC) (Netherlands)
Hospital/treatment centre

Department of Public Health
P.O. Box 7057
Amsterdam
1007 MB
Netherlands

ROR logo "ROR" https://ror.org/00q6h8f30

Funders

Funder type

Research organisation

Societal Aspects of Genomics at the Centre for Medical Systems Biology (Maatschappelijke Aspecten van Genomics van het Centre for Medical Systems Biology [MAGCMSB]) (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2009 Yes No