Prevention of diabetes using eCROPS (educating doctors and electronic supports, Counseling diabetes prevention, Recipe for lifestyle modification, Operational toolkit, Performance-based reimbursement for doctors and Screening service)
| ISRCTN | ISRCTN66772711 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN66772711 |
| Secondary identifying numbers | N/A |
- Submission date
- 06/05/2013
- Registration date
- 21/05/2013
- Last edited
- 03/04/2014
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Nutritional, Metabolic, Endocrine
Plain English summary of protocol
Background and study aims
Pre-diabetes is an intermediate stage in the development of diabetes. In China, over 14% of people are affected with pre-diabetes and one to three quarters of them will be affected with diabetes in 10 years. It is well established that the risk of diabetes can be decreased substantially by a whole range of proven guidelines, protocols and methodologies. Unfortunately, most proven methods are seldom used in daily practice and this is especially true in resource-poor rural China. This project aims at developing and evaluating an educative counseling package in preventing diabetes.
Who can participate?
Villagers, over 40 years of age, who have lived in the selected villages for over 6 months can participate in the study.
What does the study involve?
The villages are randomly allocated to one of 7 groups. Group 0 consisting of 3 villages receives an initial counseling package called preliminary eCROPS and the rest of the 6 groups of villages receive an advanced counseling package called refined eCROPS. Plasma glucose (every 12 months), body weight (monthly) and blood pressure (monthly) are measured for each group before and after counseling. The measures are documented for 6 years and the results are analysed for lower incidence of progression into diabetes, decreased body mass index, blood pressure, and increased service use and involvement in healthy dietary and physical activities among pre-diabetics compared to those before counseling and lifestyle education.
What are the possible benefits and risks of participating?
Anticipated benefits:
1. Improved knowledge about diabetes, prevention, and health services from the village doctors
2. Early diagnosis of pre-diabetes, diabetes, potential detection of high blood pressure and other conditions
3. A small gift, given at initial assessment and a villager-friendly educational calendar, for promoting diabetes-related lifestyle modifications, given before the start of each follow-up year.
Potential risks and discomforts:
1. Mild pain
2. Potential loss of privacy if diagnosed with diabetes or pre-diabetes condition
3. Time taken for the assessment and follow-up (about 1 hour each)
Where is the study run from?
Approximately 75 village clinics take part in the study and their names are determined at random.
When is the study starting and how long is it expected to run for?
June 2013 to May 2019.
Who is funding the study?
Natural Science Foundation of China and Lu'an Center for Diseases Control (China)
Who is the main contact?
Dr Rui Feng
xiao816meng@sina.cn
Contact information
Scientific
81, Meishan Road, Anhui Medical University
Hefei
230032
China
| Phone | 0086-0551-65116395 |
|---|---|
| dbwang@vip.sina.com |
Study information
| Study design | Quasi cluster randomized controlled trial using batched implementation strategies |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Prevention |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Integrated and sustainable prevention against diabetes in rural China: Lu'an eCROPS demonstration project |
| Study acronym | eCROPS |
| Study objectives | This project aims at devising and evaluating an educative counseling package in preventing diabetes. Bringing the best interventions into practice, integrated with routine services, may be effective and sustainable in preventing diabetes. |
| Ethics approval(s) | Anhui Medical University Biomedical Ethics Committee; 26th February, 2013; Reference number: 20131162 |
| Health condition(s) or problem(s) studied | Diabetes |
| Intervention | eCROPS: The villages are recruited in 7 blocks within 7 consecutive years respectively. Block 0 (control) involves 3 villages and provides an opportunity for piloting and refining primitive intervention methodologies and protocols. The following 6 blocks consist of 12 villages each and serve as intervention arm. |
| Intervention type | Other |
| Primary outcome measure | Fasting glucose: For each block, measurement is taken at baseline and every 12 months (for plasma glucose) or monthly (for body weight and blood pressure) after baseline. |
| Secondary outcome measures | 6 years of consecutive measures and detection of lower incidence of progression into diabetes, decreased body mass index and blood pressure, and increased service use and involvement in healthy dietary and physical activities among pre-diabetics receiving the experimental intervention compared to those at baseline or in the delayed-intervention control condition. |
| Overall study start date | 01/06/2013 |
| Completion date | 31/05/2019 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 6840 |
| Key inclusion criteria | 1. Men and women who are over 40 years and live in the selected villages for over 6 months in a year are eligible for baseline and biannual follow up screening 2. Villagers with a fasting glucose of 5.6<6.9 mmol/l, who are not currently being treated with oral hypoglycemic medication or insulin, are treated as priority intervention group |
| Key exclusion criteria | 1. Those with a baseline fasting glucose of 6.1-6.9 mmol/l but are confirmed as diabetic 2. Those with a fasting glucose of 5.6-6.9 mmol/l but are on treatment with oral hypoglycemic medication or insulin |
| Date of first enrolment | 01/06/2013 |
| Date of final enrolment | 31/05/2019 |
Locations
Countries of recruitment
- China
Study participating centre
230032
China
Sponsor information
Government
83 Shuangqing Road, Haiding District, Beijing
Beijing
100000
China
| report@pro.nsfc.gov.cn | |
"ROR" |
https://ror.org/01h0zpd94 |
Funders
Funder type
Government
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/04/2014 | Yes | No |
