Development of an educational ‘toolkit’ for health professionals and their patients with prediabetes: The WAKEUP study (Ways of Addressing Knowledge Education and Understanding in Pre‐diabetes)

Evans, Philip; Greaves, Colin; Winder, Rachel; Fearn-Smith, J.D.G.; Campbell, John

doi:10.1111/j.1464-5491.2007.02130.x

Cited by 41 publications

(60 citation statements)

References 25 publications

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“…Nine studies concerned older adults in general, with or without a chronic disease, who lived in a western culture [25–33]. Thirteen studies concerned minority populations living in a western culture [34–47].…”

Section: Resultsmentioning

confidence: 99%

“…In several studies older adults expressed the importance of learning from each other about health and disease [27, 28, 31–33, 44–46]. This type of co-learning was particularly discussed by older adults sharing a (high risk of) disease, such as diabetes or cancer, and mainly concerned co-learning through support groups.…”

Section: Resultsmentioning

confidence: 99%

“…In many studies older adults expressed what social support they expected to receive from health care professionals and services [25, 26, 29, 30, 33, 37, 40, 43, 44, 47]. Care workers were expected to provide adequate care, treat people with respect, show empathy, share knowledge of the health care system, and co-operate with older adults’ relatives.…”

Section: Resultsmentioning

confidence: 99%

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Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence

et al. 2017

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BackgroundCritical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities.MethodsA systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies.ResultsWe identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support.ConclusionsThis study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one’s own life collaborative learning and social support could contribute to people’s understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4570-7) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence

et al. 2017

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“…One reason for this could be that the participants did not have pre-diabetes, which may increase motivation for behaviour change. 27 However, it is likely that the reduced intensity of intervention was also a factor. 15,16 This study therefore suggests that in devising lowercost, simpler interventions, there may be a trade off between effect size and cost.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Motivational interviewing for modifying diabetes risk: a randomised controlled trial

Greaves

Middlebrooke²,

O'Loughlin³

et al. 2008

Br J Gen Pract

142

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Around 10-15% of adults aged over 40 years have pre-diabetes, which carries a high risk of progression to type 2 diabetes. Intensive lifestyle intervention reduces progression by as much as 58%. However, the cost and personnel requirements of these interventions are major obstacles to delivery in NHS primary care. AimTo assess the effectiveness of a low-cost intervention, delivered in primary care by non-NHS staff, to reduce the risk of diabetes through weight loss and physical activity. Design of studyPragmatic single-blind randomised controlled trial with researchers and statistician blinded to group allocation. SettingUK primary care. MethodOne-hundred and forty-one participants with a body mass index of 28 kg/m 2 or more, but without diabetes or heart disease, received either information leaflets or individual behavioural counselling using motivational interviewing techniques. The intervention was delivered by five counsellors recruited from the local community. The primary outcomes were the proportions of participants meeting predefined targets for weight loss (5%) and moderate physical activity (150 minutes/ week) after 6 months. ResultsUsing intention-to-treat analysis, more people in the intervention group achieved the weight-loss target (24% versus 7% for controls; odds ratio [OR] = 3.96; 95% confidence interval [CI] = 1.4 to 11.4; number needed to treat [NNT] = 6.1 (95% CI = 4 to 21). The proportion achieving the physical activity target did not increase significantly (38% versus 28% for controls; OR = 1.6; 95% CI = 0.7 to 3.8). ConclusionShort-term weight loss, at a level which, if sustained, is clinically meaningful for reducing diabetes risk, is achievable in primary care, without excessive use of NHS monetary or personnel resources.

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“…We subsequently developed an educational package for patients with Prediabetes and their healthcare professionals. This package known as WAKEUP (Ways of Addressing Knowledge Education and Understanding in Prediabetes) was found to be acceptable to both patients and health professionals (Evans et al, 2007). As well as issues relating to clinician education, there are also many practical issues in delivering a national diabetes prevention programme.…”

Section: Prevention Of Type 2 Diabetesmentioning

confidence: 99%

Type 2 Diabetes Mellitus in Family Practice: Prevention and Screening

Evans¹,

Wright²,

Gray³

et al. 2011

Topics in the Prevention, Treatment and Complications of Type 2 Diabetes

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Development of an educational ‘toolkit’ for health professionals and their patients with prediabetes: The WAKEUP study (Ways of Addressing Knowledge Education and Understanding in Pre‐diabetes)

Cited by 41 publications

References 25 publications

Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence

Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence

Motivational interviewing for modifying diabetes risk: a randomised controlled trial

Type 2 Diabetes Mellitus in Family Practice: Prevention and Screening

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