Effect of a group-based rehabilitation programme on glycaemic control and cardiovascular risk factors in type 2 diabetes patients: the Copenhagen Type 2 Diabetes Rehabilitation Project.
OBJECTIVE
To compare the effectiveness of a group-based rehabilitation programme with an individual counselling programme at improving glycaemic control and cardiovascular risk factors among patients with type 2 diabetes.


METHODS
We randomised 143 adult type 2 diabetes patients to either a 6-month multidisciplinary group-based rehabilitation programme or a 6-month individual counselling programme. Outcome measures included glycated haemoglobin (HbA(1c)), blood pressure, lipid profile, weight, and waist circumference.


RESULTS
Mean HbA(1c) decreased 0.3%-point (95% confidence interval [CI] = -0.5, -0.1) in the rehabilitation group and 0.6%-point (95% CI = -0.8, -0.4) among individual counselling participants (p<0.05). Within both groups, equal reductions occurred in body weight, waist circumference, systolic blood pressure and diastolic blood pressure, but no significant between-group differences between occurred for any of the cardiovascular outcomes. The group-based rehabilitation programme consumed twice as many personnel resources.


CONCLUSIONS
The group-based rehabilitation programme resulted in changes in glycaemic control and cardiovascular risk factor reduction that were equivalent or inferior to those of an individual counselling programme.


CONCLUSIONS
The group-based rehabilitation programme, tested in the current design, did not offer additionally improved outcomes and consumed more personnel resources than the individual counselling programme; its broad implementation is not supported by this study. Trial registration Clinicaltrials.gov NCT00284609.
Vadstrup
Eva Soelberg
ES
Department of Endocrinology and Gastroenterology, Bispebjerg University Hospital, Copenhagen, Denmark. eva.vadstrup@gmail.com
Frølich
Anne
A
Perrild
Hans
H
Borg
Eva
E
Røder
Michael
M
D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D001794:Blood Pressure; D001835:Body Weight; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003376:Counseling / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy / Q000534:rehabilitation; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis / Q000378:metabolism; D006801:Humans; D008055:Lipids; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011615:Psychotherapy, Group / Q000458:organization & administration*; D012306:Risk; D012307:Risk Factors; D012648:Self Care / Q000379:methods; D016896:Treatment Outcome; D055105:Waist Circumference
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D008055:Lipids