![]() ![]() Participants are identified through primary care, using an automated diabetes risk score within their practice database, or from a database of previous research participants. Participants aged 40–74 years for White European, or 25–74 years for South Asians, with an HbA1c value of between 6.0 and < 6.4 % (42 and 47 mmol/mol) or with a previously recorded plasma glucose level or HbA1c value within the high risk (prediabetes) range within the last five years, are invited to take part in the trial. Secondary outcomes include changes to markers of metabolic, cardiovascular, anthropometric and psychological health along with cost-effectiveness. The primary outcome is change in ambulatory activity at 48 months. Methods/DesignĪ multi-centre randomised controlled trial, with follow-up at 12 and 48 months. We aim to investigate whether a structured education programme with differing levels of ongoing support, including text-messaging, can increase physical activity over a 4 year period in a multi-ethnic population at high risk of diabetes. Lifestyle change has proven effective at reducing the risk of type 2 diabetes, but limitations in the current evidence have been identified in: the promotion of physical activity availability of interventions that are suitable for commissioning and implementation availability of evidence-based interventions using new technologies and physical activity promotion among ethnic minorities. The prevention of type 2 diabetes is recognised as a health care priority. ![]()
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