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Trial registered on ANZCTR
Registration number
ACTRN12609000469213
Ethics application status
Approved
Date submitted
8/06/2009
Date registered
16/06/2009
Date last updated
19/08/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
A controlled evaluation of the Australasian Peers for Progress Diabetes Program (PfP-DP) and its transferability to other countries.
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Scientific title
The impact of the Australasian Peers for Progress-Diabetes Program on glycosylated hemoglobin levels in people with type 2 diabetes compared with a wait-list condition.
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Secondary ID [1]
252258
0
nil known
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Universal Trial Number (UTN)
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Trial acronym
Australasian PfP-DP: Australasian Peers for Progress-Diabetes Program
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes
4869
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Condition category
Condition code
Metabolic and Endocrine
237220
237220
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Prior to group allocation, all participants will receive 1 day of diabetes self-management education run by Diabetes Australia - Victoria. The education will be delivered by DA-Vic Diabetes Educators to groups of approximately 30 people and each session will last for approximately 7 hours during one day. Intervention will be peer support groups for people with type 2 diabetes, led by lay peer leaders. Groups will meet monthly over a period of 12 months, with each session running for approximately 90 minutes. The sessions will address some of the key steps involved in behaviour change and chronic disease management, including physical activity, medication adherence, nutrition, and smoking cessation.
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Intervention code [1]
236651
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Lifestyle
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Comparator / control treatment
The control treatment will be a waitlist condition, who will receive the 1 day of diabetes self-management education and then continue with their usual care and management of diabetes. They will commence the Peer Support program after a 12 month wait following their baseline measures.
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Control group
Active
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Outcomes
Primary outcome [1]
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Glycosylated Hemoglobin (HbA1c) Levels. This will be assessed through blood analysis.
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Assessment method [1]
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Timepoint [1]
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Baseline, 6, 12 and 18 months after commencing peer support
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Primary outcome [2]
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UKPDS Cardiovascular risk score
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Assessment method [2]
279459
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Timepoint [2]
279459
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Baseline, 6, 12, and 18 months after commencing peer support
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Secondary outcome [1]
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Quality of Life and Psychosocial Functioning (Assessment of Quality of Life-8 Dimension (AQOL-8D) and EuroQol-5 Dimension (EQ-5D) Questionnaires)
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Assessment method [1]
242192
0
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Timepoint [1]
242192
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Baseline, 6, 12 and 18 months after commencing peer support
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Secondary outcome [2]
242193
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Physical Activity (1 question regarding weekly amount and frequency of physical activity)
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Assessment method [2]
242193
0
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Timepoint [2]
242193
0
Baseline, 6, 12 and 18 months after commencing peer support
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Secondary outcome [3]
242194
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Medication adherence (Morisky 8-item questionnaire)
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Assessment method [3]
242194
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Timepoint [3]
242194
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Baseline, 6, 12 and 18 months after commencing peer support
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Secondary outcome [4]
242195
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Body Mass Index (BMI). This will be calculated by a study nurse/research assistant by measuring height and weight at assessment points.
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Assessment method [4]
242195
0
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Timepoint [4]
242195
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Baseline, 6, 12 and 18 months after commencing peer support
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Secondary outcome [5]
242448
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Nutrition (Cancer Council Food Frequency Questionnaire)
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Assessment method [5]
242448
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Timepoint [5]
242448
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Baseline, 6, 12 and 18 months after commencing peer support
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Eligibility
Key inclusion criteria
1) Stable diagnosis of Type 2 Diabetes for at least 12 months
2) Ability to give consent
3) Conversational command of english
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Minimum age
25
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) Inability to give informed consent
2) A current debilitating medical or related condition (e.g. severe mental illness or endstage cancer)
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation by phone/fax/computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratification by location (rural or urban) prior to simple randomization by using a randomization table created by a computer software.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
All participants will receive the intervention, however not at the same time. The 2nd group will receive the 12 month intervention after the first group has received their 12 month intervention.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
31/08/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
198
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1733
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3350
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Recruitment postcode(s) [2]
1734
0
3353
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Recruitment postcode(s) [3]
1735
0
3550
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Recruitment postcode(s) [4]
1736
0
3552
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Recruitment postcode(s) [5]
1737
0
3128
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Recruitment postcode(s) [6]
1738
0
3129
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Recruitment postcode(s) [7]
1739
0
3130
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Recruitment postcode(s) [8]
1740
0
3047
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Recruitment postcode(s) [9]
1741
0
3058
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Recruitment postcode(s) [10]
1742
0
3175
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Recruitment postcode(s) [11]
1743
0
3170
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Recruitment postcode(s) [12]
1744
0
3199
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Recruitment postcode(s) [13]
1745
0
3200
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Recruitment postcode(s) [14]
1746
0
3214
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Recruitment postcode(s) [15]
1747
0
3215
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Recruitment postcode(s) [16]
1748
0
3216
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Recruitment postcode(s) [17]
1749
0
3220
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Recruitment postcode(s) [18]
1750
0
3219
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Recruitment postcode(s) [19]
1751
0
3150
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Recruitment postcode(s) [20]
1752
0
3564
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Recruitment postcode(s) [21]
1753
0
3121
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Recruitment postcode(s) [22]
1754
0
3122
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Recruitment postcode(s) [23]
1755
0
3805
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Recruitment postcode(s) [24]
1756
0
3072
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Recruitment postcode(s) [25]
1757
0
3850
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Recruitment postcode(s) [26]
1758
0
3852
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Recruitment postcode(s) [27]
1759
0
3853
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Recruitment postcode(s) [28]
1760
0
3630
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Recruitment postcode(s) [29]
1761
0
3631
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Recruitment postcode(s) [30]
1762
0
3632
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Recruitment postcode(s) [31]
1763
0
3168
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Recruitment postcode(s) [32]
1764
0
3171
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Recruitment postcode(s) [33]
1765
0
3172
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Recruitment postcode(s) [34]
1766
0
3020
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Recruitment postcode(s) [35]
1767
0
3676
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Recruitment postcode(s) [36]
1768
0
3677
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Recruitment postcode(s) [37]
1769
0
3152
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Recruitment postcode(s) [38]
1770
0
3818
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Recruitment postcode(s) [39]
1771
0
3820
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Recruitment postcode(s) [40]
1772
0
3355
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Recruitment postcode(s) [41]
1773
0
3356
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Recruitment postcode(s) [42]
1774
0
3029
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Recruitment postcode(s) [43]
1775
0
3030
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Funding & Sponsors
Funding source category [1]
5053
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Charities/Societies/Foundations
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Name [1]
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American Association of Family Physicians Foundation
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Address [1]
5053
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11400 Tomahawk Creek Parkway, Suite 440
Leawood, KS 66211-2672
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Country [1]
5053
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United States of America
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Primary sponsor type
Individual
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Name
Professor Brian Oldenburg
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Address
Department of Epidemiology and Preventive Medicine
Monash University, Alfred Hospital Campus
Level 3, 80 Commercial Road
Melbourne, 3004
VICTORIA
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Country
Australia
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Secondary sponsor category [1]
4642
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None
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Name [1]
4642
0
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Address [1]
4642
0
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Country [1]
4642
0
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Other collaborator category [1]
684
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Individual
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Name [1]
684
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Professor James Dunbar
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Address [1]
684
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Flinders and Deakin Universities
PO Box 423
Warrnambool, Victoria
3280
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Country [1]
684
0
Australia
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Other collaborator category [2]
685
0
Individual
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Name [2]
685
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Professor Prasuna Reddy
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Address [2]
685
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Director CRRMH
School of Medicine and Public Health
Faculty of Health
Level 1, Bowman Building
The University of Newcastle
Callaghan NSW 2308
AUSTRALIA
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Country [2]
685
0
Australia
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Other collaborator category [3]
686
0
Individual
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Name [3]
686
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Ms Virginia Hagger
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Address [3]
686
0
Diabetes Australia-Victoria
570 Elizabeth Street
Melbourne, Victoria
3000
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Country [3]
686
0
Australia
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Other collaborator category [4]
687
0
Individual
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Name [4]
687
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Mr Greg Johnson
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Address [4]
687
0
570 Elizabeth Street
Melbourne, Victoria
3000
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Country [4]
687
0
Australia
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Other collaborator category [5]
688
0
Individual
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Name [5]
688
0
Professor Maximilian de Courten
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Address [5]
688
0
University of Copenhagen, School of Global Health Room 33.2.02
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Country [5]
688
0
Australia
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Other collaborator category [6]
689
0
Individual
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Name [6]
689
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Associate Professor Rory Wolfe
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Address [6]
689
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Department of Epidemiology and Preventive Medicine
Monash University, Alfred Hospital Campus
Level 3, 89 Commercial Road
Melbourne, 3004
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Country [6]
689
0
Australia
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Other collaborator category [7]
690
0
Individual
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Name [7]
690
0
Professor Rob Carter
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Address [7]
690
0
School of Health and Social Development
Deakin University
221 Burwood Highway
Burwood, Victoria
3125
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Country [7]
690
0
Australia
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Other collaborator category [8]
691
0
Individual
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Name [8]
691
0
Dr Pilvikki Absetz
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Address [8]
691
0
National Institute of Public Health
Mannerheimintie 166
Helsinki -00300
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Country [8]
691
0
Finland
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Other collaborator category [9]
692
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Individual
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Name [9]
692
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Professor Anuar Zaini
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Address [9]
692
0
Monash University Malaysia
2, Jalan Kolej, Bandar Sunway
46150 Petaling Jaya
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Country [9]
692
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Malaysia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239222
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Monash University Human Research Ethics Committee
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Ethics committee address [1]
239222
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Monash Research Office Building 3d Monash University Victoria 3800 Australia
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Ethics committee country [1]
239222
0
Australia
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Date submitted for ethics approval [1]
239222
0
17/06/2009
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Approval date [1]
239222
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08/09/2009
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Ethics approval number [1]
239222
0
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Summary
Brief summary
The major goal of this research project is to implement and evaluate a structured state-of-the-art peer-led group program to improve daily management, social and emotional support, linkages to clinical care and ongoing support for people with Type 2 Diabetes Mellitus (T2DM). It seems likely that the benefits of such programs, compared to those delivered exclusively by health professionals, results from features of the social support offered and the connections established with local community resources and other supports. The evaluation proposal also includes a comprehensive health economic evaluation of the cost-effectiveness of the program as well as its future transferability to other settings and countries in the Asia Pacific Region and Southern Africa. The project could significantly influence the successful implementation of peer-led diabetes management programs across these countries and Australia. The aims of the trial are: 1. To implement and evaluate the impact of the Australasian Peers for Progress-Diabetes Program (PfP-DP) on diabetes self management, social and emotional support, linkage(s) to clinical care and ongoing support. 2. To evaluate the cost-effectiveness of PfP-DP and its potential long-term benefits and potential transferability to other settings and countries. 3. To identify salient enablers and barriers to future system-wide uptake in Australia and potential transferability to Malaysia and other middle income countries in Asia and Southern Africa. Hypothesis: Compared with those in the wait-list control condition, participants in the Australasian PfP-DP will demonstrate significantly greater improvements in HbA1c at 12 months following baseline measurement, and will show improvements in diabetes self-management, social and emotional support, linkages to clinical care and ongoing support.
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Trial website
www.peersforprogress.monash.edu.au (under construction)
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
29658
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Country
29658
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Phone
29658
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Fax
29658
0
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Email
29658
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Contact person for public queries
Name
12905
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Professor Brian Oldenburg
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Address
12905
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Department of Epidemiology and Preventive Medicine
Monash University, Alfred Hospital Campus
Level 3, 89 Commercial Road
Melbourne 3004
Victoria
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Country
12905
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Australia
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Phone
12905
0
+61 3 99030046
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Fax
12905
0
+61 3 99030556
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Email
12905
0
[email protected]
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Contact person for scientific queries
Name
3833
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Professor Brian Oldenburg
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Address
3833
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Department of Epidemiology and Preventive Medicine
Monash University, Alfred Hospital Campus
Level 3, 89 Commercial Road
Melbourne 3004
Victoria
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Country
3833
0
Australia
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Phone
3833
0
+61 3 99030046
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Fax
3833
0
+61 3 99030556
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Email
3833
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Cluster randomized controlled trial of a peer support program for people with diabetes: study protocol for the Australasian Peers for Progress study.
2012
Embase
Cardiovascular risk outcome and program evaluation of a cluster randomised controlled trial of a community-based, lay peer led program for people with diabetes.
2016
https://dx.doi.org/10.1186/s12889-016-3538-3
Embase
Peer support to improve diabetes care: an implementation evaluation of the Australasian Peers for Progress Diabetes Program.
2018
https://dx.doi.org/10.1186/s12889-018-5148-8
N.B. These documents automatically identified may not have been verified by the study sponsor.
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