Jacqui Troughton

Jacqui Troughton
University Hospitals Of Leicester NHS Trust | UHL · Department of Diabetes

BSc ( Hons) MSc

About

52
Publications
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1,227
Citations
Introduction

Publications

Publications (52)
Article
Full-text available
Background This paper presents the mixed methods process evaluation of the randomised controlled trial (RCT) of the Structured Health Intervention For Truckers (SHIFT), a multi-component intervention targeting physical activity and positive lifestyle behaviours in a cohort of 382 truck drivers in the UK. The SHIFT RCT found a significant difference...
Article
Full-text available
Background: Long distance heavy goods vehicle (HGV) drivers exhibit higher than nationally representative rates of obesity, and obesity-related co-morbidities, and are underserved in terms of health promotion initiatives. The purpose of this study was to evaluate the effectiveness of the multicomponent ‘Structured Health Intervention For Truckers’...
Article
Full-text available
Introduction: the DIAMONDS programme aims to evaluate a novel supported diabetes self-management intervention for people with severe mental illness (the “DIAMONDS intervention”). The purpose of this study is to test the feasibility of intervention delivery and data collection procedures to inform a definitive randomised controlled trial (RCT). Met...
Article
Introduction. The DIAMONDS programme aims to evaluate a novel supported diabetes self-management intervention for people with severe mental illness (the “DIAMONDS intervention”). The purpose of this study is to test the feasibility of intervention delivery and data collection procedures to inform a definitive randomised controlled trial (RCT). Meth...
Preprint
Full-text available
Introduction The DIAMONDS programme aims to evaluate a novel supported diabetes self-management intervention for people with severe mental illness (the DIAMONDS intervention). The purpose of this study is to test the feasibility of intervention delivery and data collection procedures to inform a definitive randomised controlled trial (RCT). Methods...
Article
Full-text available
Background Type 2 diabetes is a leading cause of mortality globally and accounts for significant health resource expenditure. Increased physical activity can reduce the risk of diabetes. However, the longer-term clinical effectiveness and cost-effectiveness of physical activity interventions in those at high risk of type 2 diabetes is unknown. Obj...
Article
Background: Many feel that their new identity as ‘someone living with diabetes’ does not fit with their biography. Some individuals may be able to re-assess life goals, adapt their identity and adjust to living with type 2 diabetes mellitus (T2DM). For others, the biographical disruption experienced with their condition may negatively affect their...
Article
Full-text available
Background Physical activity is associated with a reduced risk of type 2 diabetes and cardiovascular disease but limited evidence exists for the sustained promotion of increased physical activity within diabetes prevention trials. The aim of the study was to investigate the long-term effectiveness of the Walking Away programme, an established group...
Article
Full-text available
Background: Type 2 diabetes (T2D) is increasing in young people. Reporting on the processes used when developing prevention interventions is needed. We present the development of a family-based interactive lifestyle intervention for adolescents with risk factors for T2D in the future. Method: A multidisciplinary team in the UK site led the inter...
Article
Introduction: Heavy goods vehicle (HGV) drivers’ exhibit higher than nationally representative rates of obesity, and obesity-related co-morbidities, in comparison to other occupational groups. Their working environments are not conducive to a healthy lifestyle, yet there has been limited attention to health promotion efforts. We have developed a St...
Article
Aims: The Microalbuminuria Education Medication and Optimisation (MEMO) study, revealed improved cardiovascular risk and glycaemic control with 18 months of intensive multifactorial intervention in high-risk people with type 2 diabetes, without any increase in severe hypoglycaemia. Our aim was to assess longer-term outcomes at 4-year follow-up in...
Article
Full-text available
Aim: To develop a structured education programme for individuals with Type 1 diabetes who are engaging in regular exercise. Method: A multidisciplinary team of experts in supporting exercise and physical activity for people with Type 1 diabetes, alongside researchers with experience of developing self-management education, developed an exercise...
Poster
Aim - to develop a group and online programme for women who are at risk of developing T2DM due to a previous diagnosis of gestational diabetes. Summary - Through an iterative process we were successful in developing a complex intervention for women with a history of gestational diabetes.
Article
The prevention of type 2 diabetes mellitus is a global health care priority. We describe a programme of work, which developed a method for identifying those with non‐diabetic hyperglycaemia (a high risk group in which type 2 diabetes is preventable) in primary care and developed and tested a prevention programme suitable for delivery within the NHS...
Article
Background Prevention of type 2 diabetes mellitus (T2DM) is a global priority; however, there is a lack of evidence investigating how to effectively translate prevention research into a primary care setting. Objectives (1) To develop and validate a risk score to identify individuals at high risk of T2DM in the UK; and (2) to establish whether or n...
Article
Aims: This study aimed to investigate whether an established behavioural intervention, Walking Away from Type 2 Diabetes, is effective at promoting and sustaining increased walking activity when delivered within primary care. Methods: Cluster randomized controlled trial involving 10 general practices recruited from Leicestershire, UK, in 2009-20...
Article
Full-text available
Background: Prevention of type 2 diabetes mellitus (T2DM) is a global priority. Let's Prevent Diabetes is a group-based diabetes prevention programme; it was evaluated in a cluster-randomised trial, in which the primary analysis showed a reduction in T2DM (hazard ratio [HR] 0.74, 95% CI 0.48-1.14, p = 0.18). We examined the association of engageme...
Data
Comparison of baseline characteristics of those who attended the core programme plus one or more refresher sessions (plus min one group) versus nonengagers and those who attended only the core session. (DOCX)
Data
Secondary outcomes of those who attended the core programme plus one or more refresher sessions (plus min one group) versus nonengagers and those who attended only the core session. (DOCX)
Data
Comparison of baseline characteristics across the groups being compared. (DOCX)
Data
Strengthening the Reporting of Observational Studies in Epidemiology checklist. (PDF)
Article
Full-text available
Background: Mobile technologies for health (mHealth) represent a promising strategy for reducing type 2 diabetes (T2DM) risk. The PROPELS trial investigates whether structured group-based education alone or supplemented with a follow-on support program combining self-monitoring with pedometers and tailored text-messaging is effective in promoting...
Article
Background: Mobile technologies for health (mHealth) represent a promising strategy for reducing type 2 diabetes (T2DM) risk. The PROPELS trial investigates whether structured group-based education alone or supplemented with a follow-on support program combining self-monitoring with pedometers and tailored text-messaging is effective in promoting a...
Article
Aims: Prevention of type 2 diabetes (T2DM) is a priority in healthcare, but there is a lack of evidence investigating how to effectively translate prevention research into a UK primary care setting. We assessed whether a structured education programme targeting lifestyle and behaviour change was effective at preventing progression to T2DM in peopl...
Article
Full-text available
We report development of a group-based lifestyle intervention, Let's Prevent, using the UK Medical Research Council (MRC) framework, and delivered by structured education to prevent type 2 diabetes mellitus (T2DM) in people with impaired glucose regulation (IGR) in a UK multi-ethnic population. Diabetes Education and Self-Management for Ongoing and...
Article
Full-text available
Background: The prevention of type 2 diabetes is recognised as a health care priority. Lifestyle change has proven effective at reducing the risk of type 2 diabetes, but limitations in the current evidence have been identified in: the promotion of physical activity; availability of interventions that are suitable for commissioning and implementati...
Article
Objectives: To develop and pilot-test the feasibility and effectiveness of an interactive DVD about misconceptions within South Asian communities regarding insulin treatment in type 2 diabetes, for educating patients and community members and training healthcare providers. Methods: The project setting was a South Asian (mainly Indian) community in...
Article
Overweight or obese individuals with type 2 diabetes are encouraged to lose weight for optimal glucose management, yet many find this difficult. Determining whether alterations in dietary patterns irrespective of weight loss can aid glucose control has not been fully investigated. We conducted a systematic review and meta-analysis aiming to determi...
Article
Full-text available
The prevention of type 2 diabetes is a recognised health care priority globally. Within the United Kingdom, there is a lack of research investigating optimal methods of translating diabetes prevention programmes, based on the promotion of a healthy lifestyle, into routine primary care. This study aims to establish the behavioural and clinical effec...
Article
Full-text available
The prevention of type 2 diabetes is a globally recognised health care priority, but there is a lack of rigorous research investigating optimal methods of translating diabetes prevention programmes, based on the promotion of a healthy lifestyle, into routine primary care. The aim of the study is to establish whether a pragmatic structured education...
Article
In the UK there are currently no national structured education programmes for people newly diagnosed with type 1 diabetes. In Leicester we developed a programme for people to attend within six months of diagnosis with the aim of increasing patients' self-efficacy in managing their diabetes. Forty-two people attended the group over a 12-month period...
Article
To determine whether tighter cardiovascular risk factor control with structured education in individuals with type 2 diabetes (T2DM) and microalbuminuria benefits cardiovascular risk factors. Participants from a multiethnic population, recruited from primary care and specialist clinics were randomised to intensive intervention with structured patie...
Article
Full-text available
Recent attention has focused on strategies to combat the forecast epidemic of type-2 diabetes (T2DM) and its major vascular sequelae. Metabolic syndrome (MetS) comprises a constellation of factors that increase the risk of cardiovascular disease (CVD) and T2DM. Our study aims to develop a structured self-management education programme for people wi...
Article
Full-text available
To investigate the independent effects of intake of fruit and vegetables on incidence of type 2 diabetes. Systematic review and meta-analysis. Medline, Embase, CINAHL, British Nursing Index (BNI), and the Cochrane library were searched for medical subject headings and keywords on diabetes, prediabetes, fruit, and vegetables. Expert opinions were so...
Article
This chapter provides a transferable framework for developing a structured education programme aimed at preventing type 2 diabetes in people of South Asian ethnic origin. It shows that there is a lack of evidence surrounding lifestyle modification programmes that are both effective and suitable for implementation in a primary health care setting. I...
Article
Preventing type 2 diabetes is now a public health priority. Nurses will be at the forefront of implementing and running future diabetes prevention initiatives. This article gives an overview of the evidence from evaluated diabetes prevention programmes, reviews different strategies for identifying high risk groups and highlights key strategies for...
Article
Physical activity and weight loss are considered cornerstones of type 2 diabetes mellitus (T2DM) management programmes. However, there is much controversy and debate surrounding the relative importance of each of these factors in the treatment of T2DM. This review provides an overview of the evidence surrounding the relative importance of physical...
Article
This study sought to inform the development of an educational intervention for people with pre-diabetes in the UK by ascertaining individuals' experience of screening and diagnosis, their appraisal of the condition, and experience of health service delivery from diagnosis to 1 year post-diagnosis. Qualitative interviews directed by framework method...
Article
Type 2 Diabetes mellitus (T2DM) is a complex metabolic, multifactorial disease, which affects the quality, quantity and style of life. People with T2DM have a life expectancy that can be shortened by as much as 15 years, with up to 75% dying of macrovascular complications. To reduce the impact of T2DM in the 21st century, we need an approach that n...
Article
Nutritional advice that has little or no supporting evidence is still being given to people with diabetes. Advice pertaining to carbohydrate can be misleading. People with diabetes need evidence-based information about carbohydrates and to be given the knowledge and skills necessary to adjust their lifestyle, medication and/or insulin around the ch...

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