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Implementation of a diabetes prevention programme in a multi-ethnic community in primary care in England : an evaluation using constructs from the RE-AIM Framework
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Dallosso, Helen, Khunti, Kamlesh, Gray, Laura J., Hulley, Kerry, Ghaly, Mel, Patel, Naina, Kai, Joe, Aujla, Navneet, Davies, Melanie J. and Yates, Tom (2023) Implementation of a diabetes prevention programme in a multi-ethnic community in primary care in England : an evaluation using constructs from the RE-AIM Framework. Primary Care Diabetes, 17 (4). pp. 309-313. doi:10.1016/j.pcd.2023.05.001 ISSN 1751-9918.
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Official URL: https://doi.org/10.1016/j.pcd.2023.05.001
Abstract
To implement a diabetes prevention programme in primary care METHODS: The programme was implemented for 12 months in two neighbouring towns, served by eight general practices. Practices requested a referral pathway involving an external administrator running electronic searches and sending postal invitations. If interested, people called and booked a place on the programme. Practices were also provided with resources to refer people directly. Six Educators were trained to deliver the programme. The RE-AIM constructs "Adoption", "Reach" and "Uptake" were assessed. All practices engaged in the searches and postal invitations. Overall, 3.9 % of those aged ≥ 25 years had an HbA1c level indicative of non-diabetic hyperglycaemia (NDH) and were invited. Overall uptake (attended as percentage of invited) was 16 % (practice range 10.5-26.6 %) and was highest in two practices where the invitation was followed by a telephone call. Four people were referred directly by their practice. Groups at risk of being excluded were the Bengali population and those unable to attend because of issues such as health, mobility and frailty. Comprehensive electronic searches meant everyone previously diagnosed with NDH was invited to attend. Follow-up telephone call improved uptake and providing practices with resources to make these calls themselves would likely increase uptake further.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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SWORD Depositor: | Library Publications Router | |||||||||
Library of Congress Subject Headings (LCSH): | Diabetes, Diabetes -- Prevention -- England, Prediabetic state, Minorities -- Medical care -- England, Ethnic groups, Health promotion -- Evaluation | |||||||||
Journal or Publication Title: | Primary Care Diabetes | |||||||||
Publisher: | Elsevier BV | |||||||||
ISSN: | 1751-9918 | |||||||||
Official Date: | August 2023 | |||||||||
Dates: |
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Volume: | 17 | |||||||||
Number: | 4 | |||||||||
Page Range: | pp. 309-313 | |||||||||
DOI: | 10.1016/j.pcd.2023.05.001 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 26 July 2023 | |||||||||
Date of first compliant Open Access: | 26 July 2023 | |||||||||
RIOXX Funder/Project Grant: |
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