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Type 2 DiabetesDIA/01NCT07583355

Interdisciplinary Counselling in DIAbetes

A study testing Theoretical Counseling on Physical Activity (TCPA) in people with Type 2 Diabetes, run by Centro Universitario Ricerca Interdipartimentale Attivita' Motoria at 1 site in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This behavioral intervention study aims to assess physical activity levels and sedentary behavior among individuals with diabetes. It will compare the effectiveness of standard interventions against informational sessions on the benefits of physical activity for achieving changes in behavior and improving quality of… Read more about this study

Who is it for?
Ages 25 to 80 years
Conditions the study is for
Type 2 Diabetes
What is being tested?
Theoretical Counseling on Physical Activity (TCPA)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
123 participants
Where
1 siteItaly
Study dates
12 Feb 2025to 31 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • diagnosis of T2DM of at least 3 months;
  • age between 25 and 80 years;
  • engagement in insufficient PA (< 150 minutes per week of moderate-intensity PA, according to WHO guidelines);
  • ability to walk independently;
  • 18.5 < BMI (kg/m²) < 40.

Who cannot join

  • the presence of severe cardiovascular, neurological, or musculoskeletal conditions that contraindicate PA;
  • refusal or inability to provide written informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Carmine G Fanelli, Prof. contact

+39 075 578.4231

carmine.fanelli@unipg.it

Roberto Pippi, PhD contact

+390759668938

roberto.pippi@unipg.it

Italy1 site, 1 recruiting
  • Diabetes Center of the Section of Endocrinology and Metabolism, University Hospital of Perugia

    Perugia, PG, 06156

    Roberto Pippi, PhD, +390759668938, servizio.curiamo@unipg.it

    Recruiting

Other trials in Italy

About this study

Official title: Multidisciplinary Counselling Intervention for the Medium-long Term Adoption of a Physically Active Lifestyle and the Reduction of Sedentary Behaviour in People With Diabetes Mellitus

This behavioral intervention study aims to assess physical activity levels and sedentary behavior among individuals with diabetes. It will compare the effectiveness of standard interventions against informational sessions on the benefits of physical activity for achieving changes in behavior and improving quality of life while reducing reliance on healthcare services.

Participants will be divided into 3 groups: one receiving standard care from the diabetology service; one attending three theoretical motor counseling sessions; another engaging in three theoretical motor counseling sessions plus practical counseling supervised by kinesiologist.

The primary objective is to evaluate physical activity levels at 6 and 12 months post-intervention. Secondary objectives include assessing sedentary time, health status, anthropometric measurements, blood pressure, barriers to engaging in physical activity, motivation levels, dietary habits, readiness for lifestyle changes, perceived quality of life, and functional capacities.

Read the detailed description

A total of 123 participants, all voluntary and at no cost, will be recruited from the Diabetology clinics of the Complex Structure of Endocrinology and Metabolic Diseases in Perugia. The recruitment process will employ a randomized, non-blinded methodology, enabling the formation of three distinct groups for comparison.

Group 1 will consist of 41 people who have been diagnosed with diabetes mellitus for a minimum of three months. This cohort will receive standard medical care, which encompasses routine monitoring and management of their condition. Alongside this, participants will complete questionnaires designed to assess their health status and lifestyle, as well as undergo evaluations of their functional abilities, which may include tests of strength, mobility, and overall physical capacity. Importantly, members of this group will not receive specific recommendations for engaging in daily physical activity from healthcare providers or kinesiologists. Instead, the guidance provided will be solely theoretical, with no practical motor counseling offered to enhance their physical activity levels.

Group 2 will similarly include 41 people meeting the same three-month diagnostic criteria for diabetes mellitus. These participants will also benefit from standard care, complete questionnaires, and undergo assessments of their functional abilities. However, a key distinction for Group 2 is the provision of recommendations for daily physical activity from both healthcare professionals and kinesiologists. While this group will receive theoretical guidance on the importance of physical activity, they will not receive practical motor counseling to help them implement these recommendations in their daily lives.

Group 3 will feature another set of 41 people, again fulfilling the condition of having a diabetes mellitus diagnosis for no less than three months. In addition to receiving the same standard care, questionnaire administration, and assessments of functional capabilities, participants in this group will also receive recommendations for daily physical activity from their healthcare and kinesiology teams. What sets Group 3 apart is the inclusion of 24 biweekly sessions focused on practical motor counseling, where individuals will engage in structured physical activity programs. This component is designed to provide hands-on, practical guidance that enables participants to actively incorporate physical exercise into their routines, aiming to enhance their overall health and functional abilities.

Through this detailed approach, the study aims to explore the impact of differing levels of prescribed physical activity and support on the functional outcomes of individuals living with diabetes mellitus, contributing valuable insights to the management practices in diabetic care.

Conditions
Type 2 Diabetes
Being tested
Theoretical Counseling on Physical Activity (TCPA), Standard Care + Theoretical Counseling on Physical Activity (TCPA) + Practical Counseling on Physical Activity (PCPA)
Keywords
diabetes mellitus, physical activity, sedentary behavior, exercise intervention
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus, Motor Activity, Sedentary Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Theoretical Counseling on Physical Activity (TCPA)Behavioural

    Participant wil be involved in:

    • Routine assessments: Anthropometric (weight, height, waist circumference) and hematobiochemical parameters (e.g., glycemic and lipid profiles), and systolic and diastolic blood pressure.
    • General information + administration of the IPAQ, PACE, Barriers, Mediterranean Diet, and Quality of Life questionnaires.
    • Body Composition Assessment: BMI, fat mass (FM), fat free mass (FFM), muscle mass, total body water (TBW) and basal metabolism rate (BMR).
    • Non-diagnostic assessment of functional abilities: submaximal tests of strength, muscular endurance, and flexibility.
    • Only 3 sessions (1 per month) of TCPA: the Kinesiologist will inform the patient about the guidelines and the various types of PA, as well as their dose-dependent effects.
  • Standard Care + Theoretical Counseling on Physical Activity (TCPA) + Practical Counseling on Physical Activity (PCPA)Behavioural

    Participant wil be involved in:

    • Routine assessments: Anthropometric (weight, height, waist circumference) and hematobiochemical parameters (e.g., glycemic and lipid profiles), and systolic and diastolic blood pressure.
    • General information + administration of the IPAQ, PACE, Barriers, Mediterranean Diet, and Quality of Life questionnaires.
    • Body Composition Assessment: BMI, fat mass (FM), fat free mass (FFM), muscle mass, total body water (TBW) and basal metabolism rate (BMR).
    • Non-diagnostic assessment of functional abilities: submaximal tests of strength, muscular endurance, and flexibility.
    • Only 3 sessions (1 per month) of TCPA: the Kinesiologist will inform the patient about the guidelines and the various types of PA, as well as their dose-dependent effects.
    • PCPA: supervised mixed physical activity program (cardiovascular + resistance) lasting 3 months, with 2 sessions per week.
Study groups in NCT07583355
Study groupRoleWhat they receive
Group 1 (n = 41)No interventionStandard care (SC)
Group 2 (n = 41)ExperimentalStandard care + theoretical counseling on physical activity
Receives: Behavioral: Theoretical Counseling on Physical Activity (TCPA)
Group 3 (n = 41)ExperimentalStandard care + theoretical counseling on physical activity + practical counseling on physical activity
Receives: Behavioral: Theoretical Counseling on Physical Activity (TCPA); Behavioral: Standard Care + Theoretical Counseling on Physical Activity (TCPA) + Practical Counseling on Physical Activity (PCPA)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Total weekly physical activity time

    Total physical activity (PA) time in a week, expressed in min/week. It result from the sum of time spent in moderate-intensity PA + time spent in vigorous-intensity PA + time spent in walking.

    This measure will be assessed using the International Physical Activity Questionnaire and Actigraphy.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

Secondary outcomes (38)
  1. Total weekly walking physical activity time

    Total physical activity (PA) time in a week, expressed in min/week, spent in walking.

    This measure will be assessed using the International Physical Activity Questionnaire and Actigraphy.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  2. Total weekly moderate physical activity time

    Total physical activity (PA) time in a week, expressed in min/week, spent in moderate-intensity PA.

    This measure will be assessed using the International Physical Activity Questionnaire and Actigraphy.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  3. Total weekly vigorous physical activity time

    Total physical activity (PA) time in a week, expressed in min/week, spent in vigorous-intensity PA.

    This measure will be assessed using the International Physical Activity Questionnaire and Actigraphy.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  4. Sedentary time

    Daily time spent in sedentary activities (defined as activities with a energy expenditure <1.5 Metabolic Equivalent of Task-hours). This measure will be assessed using the International Physical Activity Questionnaire and Actigraphy.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  5. Age

    Number of years of patients

    Measured: At the time of enrollment.

  6. Body weight

    Weight (kg) assessed using a calibrate medical scale

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  7. Height

    Height (m) assessed using a medical stadiometer.

    Measured: At the enrollment, and during follow up (6 and 12 months)

  8. Waist circumference

    Waist circumference (cm) will be measured using a medical tape

    Measured: At the enrollment, and during follow up (6 and 12 months)

  9. Body mass index (BMI)

    Body mass index (kg/m2) will be calculated as weight (kg) divided by the square of height (meters).

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  10. Fasting glucose

    Blood glucose value expressed in mg/dl

    Measured: At the enrollment, and during follow up (6 and 12 months)

  11. Glycated hemoglobin (HbA1c)

    Mean of blood glucose in the last three months, expressed in percentage

    Measured: At the enrollment, and during follow up (6 and 12 months)

  12. Total blood cholesterol value

    Total cholesterol value in blood, expressed in mg/dL

    Measured: At the enrollment, and during follow up (6 and 12 months)

  13. Serum Glutamic-Oxaloacetic Transaminase (SGOT) and Serum Glutamic-Pyruvic Transaminase (SGPT)

    SGOT and SGPT blood values

    Measured: At the enrollment, and during follow up (6 and 12 months)

  14. Creatinine

    creatinine blood values, expresseg in mg/dL

    Measured: At the enrollment, and during follow up (6 and 12 months)

  15. Blood pressure

    Systolic and diastolic blood pressure (mmHg) values will be measured with a digital column sphygmomanometer for professional blood pressure measurement.

    Measured: At the enrollment, and during follow up (6 and 12 months)

  16. Stages of Change

    Stages of Change will be studied using an eight point item questionnaire specifically used for exercise, developed as part of the PACE (Patient-centered Assessment and Counseling for Activity) project.

    It is based on the Transthetic Model of Prochaska and Di Clemente and helps understand where a person is with respect to physical activity.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  17. Barriers to physical activity

    This is a 32-item instrument used to identify specific barriers to adherence and maintenance physical activity. Items are grouped into key categories that influence behavior: personal barriers (e.g., laziness, lack of motivation, tiredness, feelings of shame); physical/health barriers (e.g., pain, fear of injury, feeling too fat); environmental/external barriers (e.g., weather conditions, lack of safe places, traffic); social/economic barriers (lack of family support, excessive costs). The list of barriers comes from integrating the "PACE" protocol adapted for diabetic or obese people .

    Measured: At time of enrollment and follow up (6 and 12 months).

  18. Adherence to the Mediterranean diet

    Eating habits and adherence to the principles of the Mediterranean diet will be assessed by administering the 14-Item Mediterranean Diet Assessment Tool questionnaire.

    Measured: At time of enrollment and follow up (6 and 12 months).

  19. Measures of patient's health-related quality of life

    The 36-Item Short Form Survey (SF-36) evaluates eight health domains (physical functioning, role limitations due to physical health, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, and mental health), providing scores for both physical and mental health functioning. Each item is scored on a 0 to 100 range: a lower score indicates higher impairment and a higher score indicates better health.

    Measured: At time of enrollment and follow up (6 and 12 months).

  20. Self-Care, Usual Activities quality of life, and health status

    Movement Ability, Personal Care, usual Activities (i.e. Work, Study, Home), Pain or Discomfort, and Anxiety or Depression will be assessed using the EuroQol-5Dimensions-3levels questionnaire. For each dimensions, participants will choose between 3 levels of severity (indicated by numbers 1= No problems; 2=Some / Moderate problems; 3=Extreme problems / Inability to perform the action). Finally, the EQ-VAS will be used to ask participants about health status over the past year. This questionnaire is usually accompanied by a Visual Analog Scale (VAS), a sort of "thermometer" graduated from 0 to 100 on which the patient is asked to mark how they rate their health today.

    Measured: At time of enrollment and follow up (6 and 12 months).

  21. Hand Grip Strength

    The Hand Grip Strength will be measured with DynX ® dynamometer.

    Measured: At time of enrollment and follow up (6 and 12 months).

  22. Dynamic muscle strength

    Dynamic muscle strength will be assessed by estimating one repetition maximum by submaximal upper and lower limb strength tests, performed at natural load or with the aid of isotonic machines, using Brzycki's 1-RM prediction equation.

    Measured: At time of enrollment and follow up (6 and 12 months).

  23. Aerobic capacity

    Aerobic capacity will be estimated using the 6 Minutes Walking Test.

    Measured: At the time of enrolment and at 6 and 12 months

  24. Total High-Density Lipoprotein (HDL) values

    Total HDL values in blood, expressed in mg/dL

    Measured: At the enrollment, and during follow up (6 and 12 months)

  25. Total Low-Density Lipoprotein (LDL) values

    Total LDL values in blood, expressed in mg/dL

    Measured: At the enrollment, and during follow up (6 and 12 months)

  26. Triglycerides values

    Triglycerides value in blood, expressed as mg/dL

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  27. Fat mass value

    Body fat mass, expressed in kg, assessed using an impedance platform (Tanita Body Composition Analyzer BC-420MA; Tokyo, Japan).

    Measured: At time of enrollment and follow up (6 and 12 months).

  28. Fat free mass value

    Body fat free mass, expressed in kg, assessed using an impedance platform (Tanita Body Composition Analyzer BC-420MA; Tokyo, Japan).

    Measured: At time of enrollment and follow up (6 and 12 months).

  29. Muscle mass value

    Muscle mass, expressed in kg, assessed using an impedance platform (Tanita Body Composition Analyzer BC-420MA; Tokyo, Japan).

    Measured: At time of enrollment and follow up (6 and 12 months).

  30. Total body water value

    Total body water, expressed in percentage, assessed using an impedance platform (Tanita Body Composition Analyzer BC-420MA; Tokyo, Japan).

    Measured: At time of enrollment and follow up (6 and 12 months).

  31. Basal metabolism value

    Basal metabolism rate, expressed in kcal, assessed using an impedance platform (Tanita Body Composition Analyzer BC-420MA; Tokyo, Japan).

    Measured: At time of enrollment and follow up (6 and 12 months).

  32. Fat mass percentage

    Fat mass percentage assessed using an air plethysmograph (BOD POD® Composition System; COSMED, Albano Laziale, Italy).

    Measured: At time of enrollment and follow up (6 and 12 months).

  33. Fat free mass percentage

    Fat free mass percentage assessed using an air plethysmograph (BOD POD® Composition System; COSMED, Albano Laziale, Italy).

    Measured: At time of enrollment and follow up (6 and 12 months).

  34. Total Sleep Time

    Total Sleep Time, expressed in minutes, measured with the help of portable accelerometers of the ActiGraph Wearable Devices - wGT3X-BT type.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  35. Sleep Efficiency percentage

    Sleep Efficiency is a a ratio, expressed as a percentage, representing the proportion of time spent asleep relative to the total time spent in bed. It is calculated as (Total Sleep Time / Time in Bed) × 100. Higher values indicate more consolidated and restorative sleep. It will be measured with the help of portable accelerometers of the ActiGraph Wearable Devices - wGT3X-BT type.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  36. Wake After Sleep Onset

    Wake After Sleep Onset is the total amount of time spent awake after initially falling asleep, until the final awakening. It reflects the degree of sleep fragmentation during the night. It will be measured with the help of portable accelerometers of the ActiGraph Wearable Devices - wGT3X-BT type.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  37. Sleep Onset Latency time

    Sleep Onset Latency, expressed in minutes, is the time it takes to transition from full wakefulness to sleep after lying down. Longer latency may indicate difficulty initiating sleep. It will be measured with the help of portable accelerometers of the ActiGraph Wearable Devices - wGT3X-BT type.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

  38. Sleep Fragmentation Index

    Sleep Fragmentation Index is an index that measures the frequency of sleep-wake transitions, expressed as a percentage. It will be measured with the help of portable accelerometers of the ActiGraph Wearable Devices - wGT3X-BT type.

    Measured: At the time of enrollment and follow-up (6 and 12 months).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 May 2026
  2. Study start12 Feb 2025
  3. Primary completion23 Jan 2026
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Controlled, Randomized, non-blinded, intervention study
Masking
None (open label)
Enrolment
123 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07583355
Sponsor's protocol ID
CET N.2387/25
Acronym
DIA/01
Status last verified
May 2026
First submitted
22 Apr 2026
Last updated
13 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Theoretical Counseling on Physical Activity (TCPA) in people with Type 2 Diabetes, run by Centro Universitario Ricerca Interdipartimentale Attivita' Motoria at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Carmine G Fanelli, Prof. (+39 075 578.4231, carmine.fanelli@unipg.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total weekly physical activity time (time frame: At the time of enrollment and follow-up (6 and 12 months).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2026.

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Interdisciplinary Counselling in DIAbetes | AzTrials