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Diabetes in Europe - Prevention Using Lifestyle, Physical Activity and Nutritional Intervention in Catalonia (DE-PLAN-CAT)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01519505
Recruitment Status : Unknown
Verified January 2012 by Jordi Gol i Gurina Foundation.
Recruitment status was:  Active, not recruiting
First Posted : January 27, 2012
Last Update Posted : January 27, 2012
Instituto de Salud Carlos III
Department of Health, Generalitat de Catalunya
Information provided by (Responsible Party):
Jordi Gol i Gurina Foundation

Brief Summary:
Public health strategy on type2 diabetes prevention in primary health care. European coordinated project (DE-PLAN) adapted to Catalonia (DE-PLAN-CAT). Two-step multicentre cohort study: cross-over period (screening) plus a follow-up period (preventive intervention): 12 centres, 7 working-groups, 42 units, 106 professionals). Interventions: Randomized non-invasive diabetes screening program by means of the FINDRISC score comparing with the oral glucose tolerance test results. At least one third of the screened subjects is expected to present high-risk criteria. They will choose 1 out of 3 interventions to modify lifestyle: self-acting vs. individualized or group-based educative (6-hour, 3 or 4 sessions program). Participants' motivation will be periodically reinforced. Follow-up will be focused on diabetes incidence, cardiovascular risk (HearthScore, Regicor scores), lifestyle-quality of life (assessed by European peer-reviewed questionnaires) and cost-effectiveness analysis. First-year results includes: protocol, measurement tools and database available, screening concluded (n=2082) and European intervention manual on type 2 diabetes prevention started.

Condition or disease Intervention/treatment Phase
Type 2 Diabetes Mellitus Behavioral: Lifestyle intervention Not Applicable

Detailed Description:

Diabetes is one of the most devastating diseases because of its big impact on public health. Taking fast decisions and vigorous actions like the ones proposed by this European project (DE-PLAN) adapted to the Spanish and the Catalan actual situation (coordinated project FIS and DE-PLAN-CAT respectively) can avert it.

We consider a two-step strategy whose main objective is the primary prevention of diabetes in the European population at highest-risk. At the first stage, a non-invasive screening program will evaluate the risk of diabetes by means of a validated questionnaire (FINDRISK survey). It will be distributed at random to 2000 outpatients of public health service in Catalonia. It involves twenty primary care facilities that refer to five different centers where research scientists (executive committee) are coordinated by the head of these centers (coordinating committee) and are organised (managing committee) according to the European regulation (central committee). One third of the subjects are expected to present high-risk criteria. They will choose one out of three possible interventions to modify their lifestyle (informative approach, one-to-one or group training). For the last options, a 6-hour training program will be carried out in four sessions lasting 1,5 hours each. The trainers in charge will periodically stimulate the participants motivation.

The study will go on in the routine health care and it will assess diabetes incidence according to the economic estimation of the cost-effectiveness relation of the adopted measures involved in health care policies and prevention programs.

This project aims to evidence how the already known efficacy of these types of programs can apply to its effectiveness (on large populations) and its cost-effectiveness (in socio-economic terms). Other objectives are 1) to create one bigger database of diabetes and cardiovascular disease risks and 2) to contribute to the edition of a European manual on type 2 diabetes prevention.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 2082 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Diabetes in Europe - Prevention Using Lifestyle, Physical Activity and Nutritional Intervention in Catalonia(DE-PLAN-CAT).
Study Start Date : March 2005
Actual Primary Completion Date : March 2006
Estimated Study Completion Date : March 2012

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Lifestyle counseling

Complete lifestyle counseling including

  1. Individual intervention, OR
  2. Group intervention
Behavioral: Lifestyle intervention
INDIVIDUAL INTERVENTIONS They were programmed to come the nurse office three times (1 ½ -2 hours each). Individual intervention efforts outside of weight control and other intervention groups were also supported. In fact, this kind of intervention was similar to the group intervention but one-by-one participant subject. GROUP INTERVENTIONS Six-hour educational programme structured in 2 to 4 sessions with 5 to 15 participants. We called all participants to remind them their group schedule (date/hour). The methods used in the group intervention were variable depending on the experience of the manager, group member' s needs and skills available (empowerment). Results were based on motivation, support from the other members, peer support and positive feedback.
Other Names:
  • Individual intervention
  • Group intervention

No Intervention: Usual health care
Usual health care, including self-administered information by leaflets

Primary Outcome Measures :
  1. Incident cases of type 2 diabetes [ Time Frame: 4 years ]
    New cases of type 2 diabetes in subjects with high risk during the duration of the study

Secondary Outcome Measures :
  1. Evaluation of quality of life [ Time Frame: 4 years ]
    Quality of life in the 15-D questionnaire

  2. Cost-effectiveness [ Time Frame: 4 years ]
    Evaluation of cost-effectiveness of the efforts to prevent one case of diabetes

Information from the National Library of Medicine

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Ages Eligible for Study:   45 Years to 74 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • High risk (> or equal 14 points in FINDRISC score)
  • PTOG with IFG/ITG or both
  • Able to sign informed consent

Exclusion Criteria:

  • Type 2 diabetes in screening
  • Low risk (< 14 points in FINDRISC)
  • Terminal diseases

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01519505

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IDIAP Jordi Gol
Barcelona, Spain
Sponsors and Collaborators
Jordi Gol i Gurina Foundation
Instituto de Salud Carlos III
Department of Health, Generalitat de Catalunya
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Principal Investigator: Bernardo Costa, MD PhD Catalan Institute of Health
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Jordi Gol i Gurina Foundation Identifier: NCT01519505    
Other Study ID Numbers: P05/38
First Posted: January 27, 2012    Key Record Dates
Last Update Posted: January 27, 2012
Last Verified: January 2012
Keywords provided by Jordi Gol i Gurina Foundation:
Diabetes mellitus
Lifestyle changes
Cardiovascular risk
Additional relevant MeSH terms:
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Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases