ISRCTN ISRCTN86375169
DOI https://doi.org/10.1186/ISRCTN86375169
Secondary identifying numbers Project No: 2009BAI77B06 (the National Key Technology R&D Program)
Submission date
02/09/2013
Registration date
04/10/2013
Last edited
04/10/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study focuses on the negative emotions that play an important role in the development of type 2 diabetes mellitus (T2DM) and its complications. Drug therapy, psychological therapy and psychological health education are used in this study to improve the patients’ blood glucose levels. We are looking for the right scheme for the prevention and management of pre-diabetes and T2DM. We are also looking for some psychological indicators which would be an early warning for T2DM.

Who can participate?
Individuals seeing a doctor in the participating hospitals in China.

What does the study involve?
Participants are randomly assigned to one of five groups: the control group (conventional diabetes education only), the metformin group, the psychological treatment group, the anti-depressant group, or the psychological health education group. Participants receive the respective treatments according to the group to which they belong; all participants also receive conventional diabetes education. All subjects are interviewed and take an oral glucose tolerance test (OGTT) at the beginning of the study and are followed up after 1 and 2 years of the study.

What are the possible benefits and risks of participating?
In addition to helping the participants improve negative emotion and lower their blood glucose, the project helped the hospitals and government provide the right scheme for the prevention and management of pre-diabetes and T2DM. There was no significant risk to participants of the study.

Where is the study run from?
This study is run from six hospitals in China.

When is the study starting and how long is it expected to run for?
The study started in May 2011 and ends in July 2014.

Who is funding the study?
The study is funded by the National Key Technology R&D Program.

Who is the main contact?
Prof. Xueli Sun
sunxueli58@163.com

Contact information

Prof Sun Xueli
Scientific

28th Dianxin South road, Psychological Center
West China Hospital
Sichuan University
Sichuan
Chengdu
610041
China

Email sunxueli58@163.com

Study information

Study designMulti-center randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEarly identification and intervention on psychological problems in people in pre-diabetes
Study objectivesTo evaluate the effectiveness of an intervention on negative emotions in pre-diabetic individuals that aimed to slow down and even reverse the development process from pre-diabetes to type 2 diabetes (T2DM). To explore the optimized scheme for early prevention, and identify psychological early warning indicators for this process.
Ethics approval(s)Institutional Ethics Committee of Sichuan University, 21/12/2010, ref: 72
Health condition(s) or problem(s) studiedPre-diabetes in adults
Intervention500 subjects were randomly allocated to one of five groups:
Group 1: conventional diabetes education (blank control)
Group 2:conventional diabetes education + metformin
Group 3: conventional diabetes education + cognitive-behavioral group therapy
Group 4: conventional diabetes education + antidepressant (Seroxat)
Group 5: conventional diabetes education + psychological health education
Intervention typeOther
Primary outcome measure1. Changes of indicators of the oral glucose tolerance test and glycated hemoglobin reflecting the function of glycometabolism
2. Numerous neuroendocrine indicators reflecting the function of the hypothalamic-pituitary-adrenal axis and the hypothalamic-pituitary-thyroid axis
3. Numerous psychological tests reflecting personality, coping style, social support, emotion, life satisfaction and alexithymia

Outcome measures were assessed at baseline (T0) before the intervention, reassessed at 1 year and 2 years after the intervention, and then analyzed the psychological warning indicator of psychosomatic disease and optimization scheme for prevention of psychosomatic disease such as T2DM.
Secondary outcome measures1. To explore the psychological characteristics of pre-diabetes in Chinese adults, including personality, coping style, social support, emotion, life satisfaction and alexithymia
2. The relationship between those psychological indicators and neuroendocrine indicators or glycometabolism
3. At the end of study, a warning scale for T2DM should be designed and can be applied in practice
Overall study start date01/05/2011
Completion date31/07/2014

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsA total of 500 subjects were enrolled in the programme
Key inclusion criteria1. Aged 30-70 years
2. Fasting plasma glucose after a 75-g oral glucose tolerance test:>5.6 mmol/L,<7.0 mmol/L; or 2 h after a 75-g oral glucose tolerance test >7.8 mmol/L, <11.1 mmol/L
3. Glycated hemoglobin <8.0%
Key exclusion criteria1. Those eligible students who refused to participate
2. Women who were pregnant during the study, planning to get pregnant or lactating
3. People with type 1 diabetes or confirm there has significant clinical complications
4. Having acute myocardial infarction, unstable angina or heart failure within 3 months before screening
5. Using drugs which significantly affect the metabolism of sugar within 4 weeks before screening
6. Having a clinical diagnosis for malignant tumors and treatment within 5 years before screening
7. Having severe mental disorder or suicidal tendencies
Date of first enrolment01/05/2011
Date of final enrolment31/07/2014

Locations

Countries of recruitment

  • China

Study participating centre

28th Dianxin South road, Psychological Center
Chengdu
610041
China

Sponsor information

Ministry of Science and Technology of The People's Republic of China (China)
Government

B15th Fuxing road Beijing
Beijing
100862
China

Email bzxx@most.gov.cn
Website http://www.most.gov.cn/bszn/index.htm
ROR logo "ROR" https://ror.org/027s68j25

Funders

Funder type

Government

This project was funded by the National Key Technology R&D Program (2009BAI77B06).

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