Integrating Local Knowledge into a National Programme: Evidence from a Community-Based Diabetes Prevention Education Programme.

Michele Kok,Clare Cook,Sara Blackmore,Lisa Bryant,Mat Jones

doi:10.3390/healthcare7010038

Michele Kok, Clare Cook + Show 3 more

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https://doi.org/10.3390/healthcare7010038

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Abstract

Type 2 diabetes prevention is a major priority for healthcare services and public health. This study aimed to evaluate how a local authority in England piloted a diabetes prevention programme. The South Gloucestershire Diabetes Prevention (Pilot) Programme (SGDPP) comprised a group health education course over six weeks with subsequent support provision up to six months post-enrolment. Of the 300 patients invited onto the programme, 32% enrolled and 29% completed the full six-month programme. There was an attendance rate of 84% throughout group sessions and at a six-month follow-up. There were significant improvements across most measures at six months, including a 4 kg mean weight loss and a 3.45 mmol/mol mean HbA1c reduction. Clear goals, high quality organization and personal qualities of educators were identified as central for the programme’s success. The unit costs were similar to pilots of other healthy lifestyle programmes. The evaluation found evidence of reduced type 2 diabetes risk markers, positive impacts for dietary and physical activity, and potential cost-effectiveness for this format of group-based diabetes prevention intervention. Feedback from multiple stakeholders provided insight on how to successfully embed and scale-up delivery of diabetes prevention work. This evidence enables the integration of learning in local service delivery and provides a basis to support development of the national diabetes prevention programme.

Highlights

IntroductionSince 1996, the number of people diagnosed with diabetes in the UK has more than doubled from
Since 1996, the number of people diagnosed with diabetes in the UK has more than doubled from1.4 million: in 2018, there were 3.8 million people living in the UK diagnosed with diabetes and a further estimated 1 million people living with diabetes, but as yet remain undiagnosed [1]
The mean weight loss of 4.3% at six months was comparable to the 4% weight loss reported from the systematic review and meta-analysis of twenty-eight US diabetes prevention translation studies, albeit the latter was achieved at 12 months [19]

Summary

Introduction

Since 1996, the number of people diagnosed with diabetes in the UK has more than doubled from. 1.4 million: in 2018, there were 3.8 million people living in the UK diagnosed with diabetes and a further estimated 1 million people living with diabetes, but as yet remain undiagnosed [1]. Type 2 diabetes poses a significant public health and healthcare challenge, resulting in the premature deaths of 22,000 people every year. It is a leading cause of preventable sight loss in people of working age and is a major contributor to kidney failure, nerve damage, heart attack and stroke. An estimated £14 billion is spent every year treating diabetes and its complications, with the cost of treating complications representing a much higher cost [2]

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