{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T19:28:30Z","timestamp":1777318110197,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T00:00:00Z","timestamp":1397520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess whether a 12\u2010week participant\u2010driven health education programme offered to individuals with screening\u2010detected hyperglycaemia in Danish primary care would lead to improvements in cardiovascular risk factors, health behaviour and patient\u2010reported outcomes after 3 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a randomized controlled trial in 509 patients with screening\u2010detected hyperglycaemia (impaired fasting glucose, impaired glucose tolerance or Type 2 diabetes) from 33 general practices in Denmark. Individuals were pre\u2010randomized to receive (i) routine care (<jats:italic>n<\/jats:italic> = 187), or (ii) an invitation to participate in the Ready to Act health education programme (<jats:italic>n<\/jats:italic> = 322). The programme was delivered over 12 weeks in primary care and focused on motivation, action experience, informed decision\u2010making and social involvement to promote health behaviour change. The primary outcome was 10\u2010year modelled cardiovascular risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 322 individuals, 123 (38%) received the intervention and 436\/509 individuals (86%) returned for follow\u2010up assessment. There was no difference between the trial groups in modelled cardiovascular risk at 3 years (relative difference: 1.01; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.84 to 1.23). Total cholesterol was lower (\u22120.24mmol\/l, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: \u22120.45 to \u22120.03, <jats:italic>P<\/jats:italic> = 0.027), and patient activation was higher in the intervention than in the control group (5.3, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.97 to 9.7). No other between\u2010group differences were observed for any cardiovascular risk factor, health behaviour or patient\u2010reported outcome variables. Subgroup analyses suggested that the intervention was more beneficial in those with impaired fasting glucose\/impaired glucose tolerance than in those with Type 2 diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For patients with screening\u2010detected hyperglycaemia, a participant\u2010driven health education programme was not associated with improvements in most clinical, behavioural and patient\u2010reported outcomes after 3 years of follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12440","type":"journal-article","created":{"date-parts":[[2014,3,19]],"date-time":"2014-03-19T18:44:17Z","timestamp":1395254657000},"page":"976-986","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Effect of a participant\u2010driven health education programme in primary care for people with hyperglycaemia detected by screening: 3\u2010year results from the Ready to Act randomized controlled trial (nested within the ADDITION\u2010Denmark study)"],"prefix":"10.1111","volume":"31","author":[{"given":"H. T.","family":"Maindal","sequence":"first","affiliation":[{"name":"Health Promotion and Health Services Research Department of Public Health Aarhus University Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. H.","family":"Carlsen","sequence":"additional","affiliation":[{"name":"Biostatistics Department of Public Health Aarhus University Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Lauritzen","sequence":"additional","affiliation":[{"name":"General Practice Department of Public Health Aarhus University Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Sandbaek","sequence":"additional","affiliation":[{"name":"General Practice Department of Public Health Aarhus University Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. K.","family":"Simmons","sequence":"additional","affiliation":[{"name":"MRC Epidemiology Unit Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0494"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2012.03750.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200105033441801"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021778"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/014572170302900313"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.25.7.1159"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-0171"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-0039"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e2333"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1240928"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2011.232"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1655"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-114"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811402721"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60698-3"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197905313002203"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(03)00114-3"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cks076"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2005.00438.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-209"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200205000-00009"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000160375.47920.8c"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckq188"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-9824.2011.01103.x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0b013e3181ba6e77"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004479-200701000-00005"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fdme.12440","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.12440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T15:55:31Z","timestamp":1696348531000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.12440"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,15]]},"references-count":27,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.1111\/dme.12440"],"URL":"https:\/\/doi.org\/10.1111\/dme.12440","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,15]]},"assertion":[{"value":"2013-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-03-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}