DESMOND Ongoing - To test an integrated approach for promoting effective self-management in people with established type 2 diabetes mellitus (T2DM) – a cluster randomised controlled trial of the DESMOND Ongoing programme

Principal Investigator: Professor Melanie Davies

Other key staff: Professor Simon Heller, Dr Emer Brady, Professor Alan Brennan, Professor Mike Campbell, Dr Marian Carey, Dr Helen Dallosso, Mrs Heather Daly, Dr Helen Eborall, Dr Clare Gibson, Mr Mike Gillett, Dr Laura Gray, Professor Kamlesh Khunti, Mrs Lorraine Martin Stacey,  Dr Margaret Stone

Partners involved: CLAHRC for South Yorkshire, University Hospitals of Leicester NHS Trust, NHS Leicestershire County and Rutland, NHS Northamptonshire Teaching PCT, NHS Sheffield PCT, NHS Rotherham PCT, University of Leicester, University of Sheffield

Summary: The DESMOND Newly Diagnosed programme fulfils national standards for structured education and has been shown to be effective in the newly diagnosed population (Davies et al, 2007). We believe that for the benefits of education to be sustained, continued support for patients is required on top of an initial programme. In addition, patients need to work with health care professionals who are trained to consult in a way which values their contribution and encourages them to participate in every aspect of their care, including decisions about therapy (i.e. the ‘Care Planning’ approach).

The study will evaluate the ongoing effective self-management of people with type 2 diabetes within a primary care setting. The intervention comprises:

• The ‘Going Forward with Diabetes’ programme, a rolling programme of 3 hour sessions similar in structure and approach to the DESMOND programme, and delivered by trained educators
• An annual care planning session delivered by a trained GP or practice nurse where the health care professional uses a partnership approach to explore issues and set goals resulting in joint decisions on treatment

The intervention will be delivered over the two years of the study and follow-up will be at 12 and 24 months. We aim to recruit 532 patients from 19 practices (split between the two sites).

Further information: If you would like to be involved in this project, or for more information, please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Start date: 01/2011                                                                                         Expected end date:  06/ 2013

Aims:

• To test the effectiveness of an ongoing programme of education and care planning in people with established type 2 diabetes

Study outcomes:

• The primary outcome is change in HbA1c
• Secondary outcomes include biomedical, lifestyle and psychological variables