Feasibility, acceptability and outcomes at a 12-month follow-up of a novel community-based intervention to prevent type 2 diabetes in adults at high risk: mixed methods pilot study - PubMed (original) (raw)
Feasibility, acceptability and outcomes at a 12-month follow-up of a novel community-based intervention to prevent type 2 diabetes in adults at high risk: mixed methods pilot study
Linda Penn et al. BMJ Open. 2013.
Abstract
Objectives and design: Lifestyle interventions can prevent type 2 diabetes (T2D) in adults with impaired glucose tolerance. In a mixed methods pilot study, we aimed to assess the feasibility, acceptability and outcomes at a 12-month follow-up of a behavioural intervention for adults at risk of T2D.
Participants: Adults aged 45-65 years with a Finnish Diabetes Risk Score (FINDRISC) ≥11.
Setting: The intervention was delivered in leisure and community settings in a local authority that ranks in the 10 most socioeconomically deprived in England.
Intervention: A 10-week supported programme to promote increased physical activity (PA), healthy eating and weight loss was delivered by fitness trainers as twice-weekly group PA or cookery sessions, each followed by behavioural counselling with support to 12 months.
Outcome measures: We assessed feasibility and acceptability of the intervention, and change in behavioural and health-related outcomes at 6 and 12 months.
Results: From 367 registers of interest, 218 participants were recruited to the programme with baseline mean (SD): age 53.6 (6) years, FINDRISC 13.9 (3.1), body mass index 33.5 (5.9) kg/m(2), waist circumference 108.1 (13.7) cm, PA levels (self-report): daily total 49.1 (5.9) metabolic-equivalent (MET) h/day. Follow-up at 12 months was completed by 134 (61%) participants, with an estimated mean (95% CI) change from baseline in weight -5.7 (-7.8 to -2.8); -2.8 (-3.8 to -1.9) kg, waist circumference -7.2 (-9.2 to -5.2); -6.0 (-7.1 to -5.0) cm, and PA level 7.9 (5.8 to 10.1); 6.7 (5.2 to 8.2) MET h/day equivalent, for men and women, respectively (from covariance pattern mixed models). Participants reported an enjoyable, sociable and supportive intervention experience.
Conclusions: Participants' views indicated a high level of intervention acceptability. High retention and positive outcomes at 12 months provide encouraging indications of the feasibility and potential effectiveness of the intervention. A definitive trial of this intervention is warranted.
Keywords: Diabetes & Endocrinology; Preventive Medicine; Public Health.
Figures
Figure 1
Flow chart of recruitment and progress through the ‘New life, New You’ pilot evaluation.
Similar articles
- A feasibility randomised controlled trial of a motivational interviewing-based intervention for weight loss maintenance in adults.
Simpson SA, McNamara R, Shaw C, Kelson M, Moriarty Y, Randell E, Cohen D, Alam MF, Copeland L, Duncan D, Espinasse A, Gillespie D, Hill A, Owen-Jones E, Tapper K, Townson J, Williams S, Hood K. Simpson SA, et al. Health Technol Assess. 2015 Jul;19(50):v-vi, xix-xxv, 1-378. doi: 10.3310/hta19500. Health Technol Assess. 2015. PMID: 26168409 Free PMC article. Clinical Trial. - Preoperative behavioural intervention to reduce drinking before elective orthopaedic surgery: the PRE-OP BIRDS feasibility RCT.
Snowden C, Lynch E, Avery L, Haighton C, Howel D, Mamasoula V, Gilvarry E, McColl E, Prentis J, Gerrand C, Steel A, Goudie N, Howe N, Kaner E. Snowden C, et al. Health Technol Assess. 2020 Mar;24(12):1-176. doi: 10.3310/hta24120. Health Technol Assess. 2020. PMID: 32131964 Free PMC article. Clinical Trial. - Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors: Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].
Patnode CD, Evans CV, Senger CA, Redmond N, Lin JS. Patnode CD, et al. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. PMID: 29364620 Free Books & Documents. Review. - A weight management programme for fathers of children aged 4–11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility RCT.
Jolly K, Griffin T, Sidhu M, Adab P, Burgess A, Collins C, Daley A, Entwistle A, Frew E, Hardy P, Hurley K, Jones L, McGee E, Pallan M, Sun Y, Young M, Morgan P. Jolly K, et al. Southampton (UK): NIHR Journals Library; 2020 Feb. Southampton (UK): NIHR Journals Library; 2020 Feb. PMID: 32119233 Free Books & Documents. Review.
Cited by
- Physician-Chef-Dietitian Partnerships for Evidence-Based Dietary Approaches to Tackling Chronic Disease: The Case for Culinary Medicine in Teaching Kitchens.
Wood NI, Stone TA, Siler M, Goldstein M, Albin JL. Wood NI, et al. J Healthc Leadersh. 2023 Jul 24;15:129-137. doi: 10.2147/JHL.S389429. eCollection 2023. J Healthc Leadersh. 2023. PMID: 37520178 Free PMC article. Review. - [Number of teeth as indicator for individual risk for delirium].
Gleibs-Koch L, Baerwald C, Thuemmler C. Gleibs-Koch L, et al. Z Gerontol Geriatr. 2024 Feb;57(1):37-42. doi: 10.1007/s00391-023-02203-1. Epub 2023 Jun 9. Z Gerontol Geriatr. 2024. PMID: 37296278 Free PMC article. German. - Three-Minute Diagnostic Assessment for Delirium using the Confusion Assessment Method (3D-CAM): French translation and cultural adaptation.
Gaudet JG, Kull C, Eskenazi ML, Diaper J, Maillard J, Mollard F, Marti C, Marcantonio ER, Courvoisier DS, Walder B. Gaudet JG, et al. Can J Anaesth. 2022 Jun;69(6):726-735. doi: 10.1007/s12630-022-02232-1. Epub 2022 Mar 25. Can J Anaesth. 2022. PMID: 35338453 Free PMC article. - Comparing performance on the Months of the Year Backwards test in hospitalised patients with delirium, dementia, and no cognitive impairment: an exploratory study.
Hasemann W, Duncan N, Clarke C, Nouzova E, Süßenbach LM, Keerie C, Assi V, Weir CJ, Evans J, Walsh T, Wilson E, Quasim T, Middleton D, Weir AJ, Barnett JH, Stott DJ, MacLullich AMJ, Tieges Z. Hasemann W, et al. Eur Geriatr Med. 2021 Dec;12(6):1257-1265. doi: 10.1007/s41999-021-00521-4. Epub 2021 Jun 22. Eur Geriatr Med. 2021. PMID: 34156656 Free PMC article. - Tensions and opportunities in social prescribing. Developing a framework to facilitate its implementation and evaluation in primary care: a realist review.
Calderón-Larrañaga S, Milner Y, Clinch M, Greenhalgh T, Finer S. Calderón-Larrañaga S, et al. BJGP Open. 2021 Jun 30;5(3):BJGPO.2021.0017. doi: 10.3399/BJGPO.2021.0017. Print 2021 Jun. BJGP Open. 2021. PMID: 33849895 Free PMC article.
References
- International Diabetes Federation Diabetes atlas. Brussels: International Diabetes Federation, 2006
- NICE PH 38 Preventing type 2 diabetes—risk identification and interventions for individuals at high risk. http://guidanceniceorguk/PH38 2012. http://guidance.nice.org.uk/PH38 (accessed 26 Jul 2012).
- Johnson M, Jones R, Freeman C, et al. Prevention of type 2 diabetes: reviewing mechanisms of successful interventions and translation of major trial evidence to practice. 2011. http://wwwniceorguk/guidance/indexjsp?action=download&o=57044. http://www.nice.org.uk/guidance/index.jsp?action=download&o=57044.
- Costa B, Barrio F, Cabré JJ, et al. Delaying progression to type 2 diabetes among high-risk Spanish individuals is feasible in real-life primary healthcare settings using intensive lifestyle intervention. Diabetologia 2012;55:1319–28 - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous