Promoting a healthy lifestyle in adults with diabetes

INTERVENTION: The study will be undertaken over a 1‐year period in ten health facilities in Muscat. Participants in the intervention group will receive phone personalised physical activity and diet consultations on four occasions (4, 12, 24 and 36 weeks), pedometers, and an interactive phone application (developed by the higher college of technology in Oman). The intervention will include self‐monitoring and feedback on step counts and diet which will be provided within physical activity and diet consultations and discussed through communications in the interactive application. The comparison group will receive usual care. These visits also allowed for data collection by clinic staff for research purposes in all health facilities at baseline, 3, 6 and 12 months. Randomisation: Random generated tables through SPSS v21 CONDITION: Prevention of multi‐organ complications in obese adults with diabetes through healthy lifestyle (physical activity and diet) ; Not Applicable PRIMARY OUTCOME: ; Measured at baseline and 1 year:; 1. Physical activity behaviour (including sitting time) using the Global Physical activity questionnaire (GPAQ); 2. Diet control measured using a bespoke validated questionnaire; SECONDARY OUTCOME: ; 1. Cardiovascular outcomes (BP and lipids) collected from the existing health information system at baseline and 12 months follow up; 2. Anthropometric measures (weight, waist circumference and BMI) collected from the existing health information system at baseline and 12 months follow up; 3. Metabolic outcomes (HBa1c) from the existing health information system at baseline and 12 months follow up; INCLUSION CRITERIA: 1. Adults aged =18 ‐ 65 years of age 2. Diagnosed with diabetes and overweight/obese 3. Attending (registered)health facilities for at least 6 months 4. Hba1c >7% (= 48 mmol/mol) according to Oman diabetes management guidelines 5. Assessed by project officer as having inactive behaviour 6. No contraindication to physical activity 7. Able to speak and read Arabic 8. Willing and able to provide written informed consent to the study 9. Can use phone applications