Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Users’ experiences of a pragmatic diabetes prevention intervention implemented in primary care : qualitative study

Tools
- Tools
+ Tools

Aujla, Navneet, Yates, Thomas, Dallosso, Helen and Kai, Joe (2019) Users’ experiences of a pragmatic diabetes prevention intervention implemented in primary care : qualitative study. BMJ Open, 9 (8). e028491. doi:10.1136/bmjopen-2018-028491 ISSN 2044-6055.

[img]
Preview
PDF
WRAP-users-experiences-pragmatic-diabetes-prevention-intervention-implemented-primary-care-qualitative-study-Aujla-2019.pdf - Published Version - Requires a PDF viewer.
Available under License Creative Commons Attribution 4.0.

Download (255Kb) | Preview
[img]
Preview
PDF
WRAP-Users-experiences-pragmatic-diabetes-primary-Aujila-2019.pdf - Accepted Version - Requires a PDF viewer.

Download (675Kb) | Preview
Official URL: http://dx.doi.org/10.1136/bmjopen-2018-028491

Request Changes to record.

Abstract

Objectives To explore service-user and provider experience of the acceptability and value of the Let’s Prevent Diabetes programme, a pragmatic 6-hour behavioural intervention using structured group education, introduced into primary care practice.

Design Qualitative interview-based study with thematic analysis.

Setting Primary care and community.

Participants Purposeful sample of 32 participants, including 22 people at high risk of diabetes who either attended, defaulted from or declined the intervention; and 10 stakeholder professionals involved in implementation.

Results Participants had low prior awareness of their elevated risk and were often surprised to be offered intervention. Attenders were commonly older, white, retired and motivated to promote their health; who found their session helpful, particularly for social interaction, raising dietary awareness, and convenience of community location. However attenders highlighted lack of depth, repetition within and length of session, difficulty meeting culturally diverse needs and no follow-up as negative features. Those who defaulted from, or who declined the intervention were notably apprehensive, uncertain or unconvinced about whether they were at risk of diabetes; sought more specific information about the intervention, and were deterred by its group nature and day-long duration, with competing work or family commitments. Local providers recognised inadequate communication of diabetes risk to patients. They highlighted significant challenges for implementation, including resource constraints, and facilitation at individual general practice or locality level.

Conclusions This pragmatic diabetes prevention intervention was acceptable in practice, particularly for older, white, retired and health-motivated people. However, pre-intervention information and communication of diabetes risk should be improved to increase engagement and reduce potential fear or uncertainty, with closer integration of services, and more appropriate care pathways, to facilitate uptake and follow-up. Further development of this, or other interventions, is needed to enable wider, and more socially diverse, engagement of people at risk. Balancing a locality and individual practice approach, and how this is resourced are considerations for long-term sustainability.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Diabetes -- Prevention, Diabetes, Diabetes -- Prevention -- Evaluation, Non-insulin-dependent diabetes -- Prevention, Diabetes -- Epidemiology
Journal or Publication Title: BMJ Open
Publisher: BMJ
ISSN: 2044-6055
Official Date: 2 August 2019
Dates:
DateEvent
2 August 2019Published
4 July 2019Accepted
Volume: 9
Number: 8
Article Number: e028491
DOI: 10.1136/bmjopen-2018-028491
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 6 August 2019
Date of first compliant Open Access: 7 August 2019
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDUniversity Of Nottinghamhttp://dx.doi.org/10.13039/501100000837
UNSPECIFIEDNational Institute for Health Research (Great Britain). Collaboration for Leadership in Applied Health Research and Care East Midlandshttp://viaf.org/viaf/28155224408584370530

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us