Primary outcome measures |
Physical activity |
Measured by the 16-item Global Physical Activity Questionnaire (GPAQ) [57] |
|
Diet |
Dietary intake assessed using the Rapid Eating and Activity Assessment for Participants Short Version (REAP-S) [58] |
|
Medication adherence |
Measured with the 8-item self-report Morisky Medication Adherence Scale (MMAS) [59] |
|
Self-monitoring behavior |
Measured with the Summary of Diabetes Self-Care Activities (SDSCA) scale [60] |
Secondary outcome measures |
HbA1c, low-density lipoprotein cholesterol (LDL-C) |
Blood specimens obtained at baseline, 2.5 and 6.5 months visits |
|
Blood pressure (BP) measurements |
An average of three BP readings done in 2-minute intervals obtained at baseline, 2.5 and 6.5 months by a trained RA using automated BP monitors (OMRON IntelliSenseTM HEM-907XL) with the patient seated comfortably for 5 minutes prior to the measurements |
|
Cardiovascular disease risk |
Framingham Risk Score (FRS) estimates the 10-year risk of “hard” coronary heart disease outcomes (myocardial infarction, death) [45] |
|
Quality of life |
The SF-12 is a valid and reliable instrument to measure functional status and will be used to assess quality of life at baseline, 2, and 6 months assessments. The SF-12 items reproduce at least 90 % of the variance in PCS-36 and MCS-36 scores [49] |