STOP DIABETES - Knowledge-based Solutions

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUniversity of Eastern Finland

About this trial

The aim of the Stop Diabetes - Knowledge based solutions (StopDia) consortium project (University of Eastern Finland, National Institute for Health and Welfare, and Technical Research Centre of Finland) is to develop and test approaches to identify individuals at increased risk of type 2 diabetes and to empower them in adopting and maintaining a healthy lifestyle by combining individual and environment level strategies into a dual-process approach targeting deliberative and automatic processes of behavior. We also aim to identify barriers and facilitators of adopting a healthy lifestyle in the society, create a model for the prevention of type 2 diabetes by joint actions of health care, third sector, and other societal actors, and develop methods to monitor the cost-effectiveness of these actions. We will carry out a 1-year randomized controlled trial on the effects of among 10 000 individuals aged 18-70 years at increased risk of type 2 diabetes living in Finland. The participants will be randomized into the control group, the digital lifestyle intervention group, or the combined digital and face-to-face lifestyle intervention group. The aim of the interventions is to enhance diet quality, increase physical activity, decrease body weight, and improve glucose tolerance in individuals at increased risk of type 2 diabetes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

age of 18-70 years

12 points or more in the Finnish diabetes risk score or previous gestational diabetes or repeated impaired fasting glucose (IFG) (fasting plasma glucose level 6,1 - 6,9 mmol/l) or impaired glucose tolerance (2-hour glucose level 7,8 - 11,0 mmol/l in oral glucose tolerance test)

living in the hospital district of Northern Savo, Päijät-Häme or South Karelia

possibility to use computer, smartphone or tablet with internet connection

Disqualifiers

type 1 or 2 diabetes

pregnancy or breastfeeding

current cancer or less than 6 months from the end of cancer treatment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Digital lifestyle intervention group

    Behavioral

    Intervention with digital application for lifestyle changes

  • Combined digital and face-to-face lifestyle intervention group

    Behavioral

    Intervention with digital application and group meetings for lifestyle changes

Treatment groups

10,000 Participants
are divided into 3 treatment groups
Group A: Control groupNo intervention 0 interventions
Group B: Digital lifestyle intervention groupExperimental treatment 1 intervention
Group C: Combined digital and face-to-face lifestyle intervention groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in diet

Change in diet is assessed by the dietary score based on Finnish Nutrition Recommendations and is formulated according to food frequency questionnaire.

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up
2

Change in total physical activity level

Change in total physical activity level is assessed by the physical activity questionnaire.

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up
3

Change in plasma glucose levels

Assessed in the 2 hour oral glucose tolerance tests

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up
4

Change in body weight

Assessed with digital weight scales

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up

Secondary outcomes

1

Change in waist circumference

Assessed with validated guidelines for the measure

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up
2

Change in insulin concentration

Assessed in the 2 hour oral glucose tolerance tests

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up
3

Change in glycated hemoglobin

Assessed from fasting blood sample

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up
4

Change in plasma lipid concentration

Plasma total, HDL and LDL cholesterol, and triglyceride concentrations are measured.

Time frame
From baseline to one year follow-up, to 3 year follow-up, to 5 year follow-up, to 10 year follow-up, to 15 year follow-up, 20 year follow-up

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Eastern Finland

Lead sponsor

National Institute of Health and Welfare

Collaborator

Technical Research Centre of Finland

Collaborator

University of Melbourne

Collaborator

University of Konstanz

Collaborator

Karolinska Institutet

Collaborator

Maastricht University

Collaborator

University of Oslo

Collaborator

Danube-University

Collaborator

Flinders University

Collaborator

Cornell University

Collaborator

University of Copenhagen

Collaborator

Roskilde University

Collaborator

University of Manchester

Collaborator

University of York

Collaborator