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Preventing Diabetes in Those at Risk by Having a Facilitator and Family Doctor Encourage Healthy Activity and Eating Habits (FLIP)

This study has been completed.
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
University of British Columbia Identifier:
First received: April 30, 2012
Last updated: March 4, 2014
Last verified: March 2014

Nearly six million Canadians are living with an increased risk of diabetes (prediabetes) and approximately 50% of these will develop type 2 diabetes within five years. The investigators wish to help these people change their lifestyle, to prevent them from getting diabetes. Trials have shown that by supporting people with prediabetes to be more active and have healthier eating habits they can halve their risk. However, these interventions were very costly and not performed in Canada. With the help of local Family Physicians and other health professionals (e.g. physiotherapy, psychology, endocrinology, nursing) the investigators have created a less expensive intervention suitable for the Canadian population and health system. The investigators need to perform a study to see whether these modified approaches are practical for Canadians and likely to be effective. People at risk will be invited to participate from family practices that have helped us in the initial stages of this program. Family practices will be randomized to giving either the study intervention or continue with the physician's usual care. People receiving the intervention will have an appointment with their family doctor to discuss their exercise and eating habits and agree changes that are necessary. A prescription detailing these changes will be completed and signed by the family physician and participant. Participants will be given the name of a lifestyle change facilitator (LCF) who will receive a copy of the prescription and contact the participant to help them set achievable goals. The LCF will contact participants once a month for six months to help them achieve these goals. The investigators eventual aim is to test this intervention in a large-scale randomized control trial. To achieve this it is necessary to pilot all aspects of the trial. Information from the pilot study can then be used to design and perform a large-scale study effectively. The investigators hope that eventually the numbers of Canadians progressing to having diabetes will be reduced.

Condition Intervention Phase
Behavioral: Lifestyle changes
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Preventing Diabetes With Facilitated Lifestyle Intervention Prescriptions.Phase 2: Pilot Study

Resource links provided by NLM:

Further study details as provided by University of British Columbia:

Primary Outcome Measures:
  • HbA1c Progression to diabetes [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Enrollment: 59
Study Start Date: July 2012
Primary Completion Date: October 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Lifestyle counseling
Green prescription with facilitator support
Behavioral: Lifestyle changes
Green prescription with support from facilitator
Usual care Behavioral: Lifestyle changes
Green prescription with support from facilitator


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Adults aged ≥ 18 years
  • HbA1c of 5.7 to 6.4% and/or FPG of 6.1 to 6.9 mmol/l and/or a 2hr 75g OGTT of between 7.8 and 11.0 mmol/l

Exclusion Criteria:

  • People with Type I or II diabetes
  • Unstable angina
  • Uncontrolled congestive heart failure
  • Unstable arrhythmia
  • Heart valvular disease
  • Severe hypertension (systolic ≥ 200 or diastolic ≥ 120)
  • Pregnant women or planning pregnancy within two years
  • Life expectancy < 1 year
  • Waiting for major surgery
  • High risk of fracture
  • Pregnancy or planning pregnancy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01589835

Canada, British Columbia
UBC Family Practice
Vancouver, British Columbia, Canada, V6T 1Z3
Sponsors and Collaborators
University of British Columbia
Canadian Institutes of Health Research (CIHR)
Principal Investigator: Martin Dawes UBC
  More Information

No publications provided

Responsible Party: University of British Columbia Identifier: NCT01589835     History of Changes
Other Study ID Numbers: H12-01330
Study First Received: April 30, 2012
Last Updated: March 4, 2014
Health Authority: Canada: Health Canada processed this record on November 20, 2014