Population level impact of the NHS Diabetes Prevention Programme on incidence of type 2 diabetes in England: An observational study

McManus, Emma; Meacock, Rachel; Parkinson, Beth; Sutton, Matt

doi:10.1016/j.lanepe.2022.100420

Cited by 36 publications

(31 citation statements)

References 29 publications

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“…Each provider offered a nine-month intervention to promote weight loss via increased physical activity and improved diet for adults at increased risk of developing T2DM. Initial results suggest that the NHS-DPP has worked in helping individuals to reduce their risk of progressing to T2DM ( Valabhji et al, 2020 , Marsden et al, 2022 , McManus et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content

Hawkes¹,

Miles²,

French³

2023

Preventive Medicine Reports

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Section: Introductionmentioning

confidence: 99%

What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content

Hawkes¹,

Miles²,

French³

2023

Preventive Medicine Reports

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“…Although this The second approach involves targeted efforts to improve adherence to healthy lifestyle behaviours. This might entail adopting measures that will consciously motivate individuals to perform the desired healthy lifestyle activities, as demonstrated by the impact of the NHS DPP [18]. Examples of this approach are as utilised by Huo, et al [23] in the Cardiovascular Health and Text Messaging (CHAT) and the CHAT-Diabetes Mellitus (CHAT-DM) studies.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, effective alignment of lifestyle behaviour with attitude would require modification of lifestyle practices or intervention education provided by physicians, psychologists, and other healthcare workers to young adult patients, in a bid to facilitate greater adoption of recommended healthy lifestyle behaviours, and ultimately prevent the onset and reduce the incidence or delay progression from pre-diabetes (high risk) to Type 2 diabetes mellitus. a national type 2 diabetes prevention programme targeted at persons with prediabetes, resulted in a reduced incidence of the disease [18]. Participants in the 9-12 month programme were 18 years and above, and were eligible for enrolment in the programme if a recent blood test showed a concentration of HbA1c within the range of 42-47 mmol/mol (6.0-6.4%) or fasting plasma glucose (FPG) level of 5.5-6.9 mmol/L, and then had to attend about 13 group-based behaviour change sessions which were said to have incorporated structured education on nutrition, physical activity and weight loss.…”

Section: Discussionmentioning

confidence: 99%

Personalized Evidence, and Young Adults' Attitude and Behaviour Towards Type 2 Diabetes Mellitus Preventive Lifestyle Measures

Ilemona¹,

Oselenbalu²,

Hany³

2022

Int J Diabetes Clin Res

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Background: Behaviour change programmes have demonstrated diabetes risk-reduction benefits. Studies on diabetes preventive lifestyle activities largely focus on middle-aged/older adults. We investigated non-diabetic young adults' risk of developing Type 2 diabetes mellitus, and their attitudes and behaviours towards preventive lifestyle activities. Methods:A descriptive cross-sectional study on nondiabetic, young adults living in Middle Eastern countries. Data was collected and analyzed electronically.Results: Mean diabetes risk score was x = 2.8 (SD ± 1.3), and 92.6% demonstrated a low risk of developing diabetes. About 88.1% agreed on the importance of maintaining a healthy lifestyle at a young age, and 92.9% thought a healthy lifestyle would help them to stay healthy. Weekly 38.0% and another 38.0% ate fruits and vegetables respectively on 2 to 3 days only. Additionally, 85.0% indicated that their work did not involve vigorous-intensity activity, 54.9% walked or used a bicycle for at least 10 minutes, and 74.2% did not do vigorous-intensity sports/fitness/recreational activities for at least 10 minutes continuously. There was a weak and negative correlation between age and diabetes risk score (r = -0.1), and BMI was positively correlated with diabetes risk score (r = 0.63). Discussion:The participants mostly demonstrated a low risk of developing Type 2 diabetes, were overweight on average, and did not meet the recommended lifestyle practices. The reported positive attitude towards preventive lifestyle measures did not correspond to their collective reported lifestyle behaviours/practices. Conclusion:Healthcare professionals need to focus on the practical (behavioural) aspects of healthy lifestyle modification educational activities for young adult patients.

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“…We are undertaking a longitudinal mixed methods evaluation of the national roll out of the NHS DPP to evaluate the implementation and population impact of the programme: Diabetes Prevention -Long term Multimethod Assessment (DIPLOMA) (16). DIPLOMA suggests that the NHS DPP has reduced rates of population level incidence of type 2 diabetes (17). This paper presents ndings from interviews (conducted at time-points 2 and 3), with designated leads responsible for the local commissioning and implementation of NHS DPP to explore how local implementation processes were enacted and adapted over time.…”

Section: Timeline Of Nhs Dpp Roll Outmentioning

confidence: 99%

Implications for future policy implementation: a qualitative evaluation of the national rollout of a diabetes prevention programme in England.

Brunton

Soiland‐Reyes

Wilson

2022

Preprint

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Background The National Health Service Diabetes Prevention Programme (NHS DPP) was commissioned by NHS England in 2016 and rolled out in three ‘waves’ across the whole of England. It aims to help people with raised blood glucose levels reduce their risk of developing type 2 diabetes through behaviour change techniques (e.g. weight loss, dietary changes and exercise). We report findings from interviews with designated local leads, responsible for the local commissioning and implementation of the programme, to explore how local implementation processes were enacted and adapted over time. Methods We conducted a telephone interview study across two time-points. We conducted 24 semi-structured interviews with local leads across 19 sampled case sites between October 2019 and January 2020. We conducted 13 interviews with local leads across 13 sampled case sites between July 2020 and August 2020. Interviews aimed to reflect on the experience of implementation and explore how things changed over time; this included how implementation plans changed in the light of the COVID-19 pandemic. Results We identified five overarching themes to show how implementation was locally enacted and adapted across the sampled case sites: 1. Adapting to provider change; 2. Identification and referral; 3. Enhancing uptake in underserved populations; 4. Digital and remote service options and 5. Impact of COVID-19 pandemic on implementation. Conclusion This paper reports how designated local leads, responsible for local implementation of the NHS DPP, adapted implementation efforts over the course of a changing national diabetes prevention programme, including how implementation and delivery of the programme was impacted during the COVID-19 pandemic. This paper highlights three main factors that influence implementation: the importance of facilitation, the ability (or not) to tailor interventions to local needs and the role of context in implementation.

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Population level impact of the NHS Diabetes Prevention Programme on incidence of type 2 diabetes in England: An observational study

Cited by 36 publications

References 29 publications

What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content

What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content

Personalized Evidence, and Young Adults' Attitude and Behaviour Towards Type 2 Diabetes Mellitus Preventive Lifestyle Measures

Implications for future policy implementation: a qualitative evaluation of the national rollout of a diabetes prevention programme in England.

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