A systematic review of real-world diabetes prevention programs: Learnings from the last 15 years

Journal article


Aziz, Zahra, Absetz, Pilvikki, Oldroyd, John, Pronk, Nicolaas P. and Oldenburg, Brian. (2015) A systematic review of real-world diabetes prevention programs: Learnings from the last 15 years. Implementation Science. 10(1), pp. 1 - 17. https://doi.org/10.1186/s13012-015-0354-6
AuthorsAziz, Zahra, Absetz, Pilvikki, Oldroyd, John, Pronk, Nicolaas P. and Oldenburg, Brian
Abstract

Background The evidence base for the prevention of type 2 diabetes mellitus (T2DM) has progressed rapidly from efficacy trials to real-world translational studies and practical implementation trials over the last 15 years. However, evidence for the effective implementation and translation of diabetes programs and their population impact needs to be established in ways that are different from measuring program effectiveness. We report the findings of a systematic review that focuses on identifying the critical success factors for implementing diabetes prevention programs in real-world settings. Methods A systematic review of programs aimed at diabetes prevention was undertaken in order to evaluate their outcomes using the penetration, implementation, participation, and effectiveness (PIPE) impact metric. A search for relevant articles was carried out using PubMed (March 2015) and Web of Science, MEDLINE, CENTRAL, and EMBASE. A quality coding system was developed and included studies were rated independently by three researchers. Results Thirty eight studies were included in the review. Almost all (92 %) provided details on participation; however, only 18 % reported the coverage of their target population (penetration). Program intensity or implementation—as measured by frequency of contacts during first year and intervention duration—was identified in all of the reported studies, and 84 % of the studies also reported implementation fidelity; however, only 18 % of studies employed quality assurance measures to assess the extent to which the program was delivered as planned. Sixteen and 26 % of studies reported ‘highly’ or ‘moderately’ positive changes (effectiveness) respectively, based on weight loss. Six (16 %) studies reported ‘high’ diabetes risk reduction but ‘low’ to ‘moderate’ weight loss only. Conclusion Our findings identify that program intensity plays a major role in weight loss outcomes. However, programs that have high uptake—both in terms of good coverage of invitees and their willingness to accept the invitation—can still have considerable impact in lowering diabetes risk in a population, even with a low intensity intervention that only leads to low or moderate weight loss. From a public health perspective, this is an important finding, especially for resource constrained settings. More use of the PIPE framework components will facilitate increased uptake of T2DM prevention programs around the world.

Keywordsimplementation; translational research; diabetes prevention; Penetration implementation participation effectiveness (PIPE) impact metric; systematic review; resource allocation
Year2015
JournalImplementation Science
Journal citation10 (1), pp. 1 - 17
PublisherBiomed Central Ltd
ISSN1748-5908
Digital Object Identifier (DOI)https://doi.org/10.1186/s13012-015-0354-6
Scopus EID2-s2.0-84973430354
Open accessOpen access
Page range1 - 17
Publisher's version
License
Place of publicationUnited Kingdom
Permalink -

https://acuresearchbank.acu.edu.au/item/8q3z0/a-systematic-review-of-real-world-diabetes-prevention-programs-learnings-from-the-last-15-years

Download files


Publisher's version
  • 4
    total views
  • 11
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: Implementation evaluation of the Kerala Diabetes Prevention Program
Aziz, Zahra, Mathews, Elezebeth, Absetz, Pilvikki, Sathish, Thirunavukkarasu, Oldroyd, John, Balachandran, Sajitha, Shetty, Suman S., Thankappan, K. R. and Oldenburg, Brian. (2018) A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: Implementation evaluation of the Kerala Diabetes Prevention Program. Implementation Science. 13(1), pp. 1 - 14. https://doi.org/10.1186/s13012-018-0791-0
Descriptive characteristics and in-hospital mortality of critically bleeding patients requiring massive transfusion: Results from the Australian and New Zealand Massive Transfusion Registry
Ruseckaite, Rasa, McQuilten, Z. K., Oldroyd, John C., Richter, T. H., Cameron, Peter A., Isbister, J. P. and Wood, E. M.. (2017) Descriptive characteristics and in-hospital mortality of critically bleeding patients requiring massive transfusion: Results from the Australian and New Zealand Massive Transfusion Registry. Vox Sanguinis. 112(3), pp. 240 - 248. https://doi.org/10.1111/vox.12487
Barriers to cervical cancer and breast cancer screening uptake in low-income and middle-income countries: A systematic review
Islam, Rakibul M., Billah, Baki, Hossain, Md Nassif and Oldroyd, John. (2017) Barriers to cervical cancer and breast cancer screening uptake in low-income and middle-income countries: A systematic review. Asian Pacific Journal of Cancer Prevention. 18(7), pp. 1751 - 1763. https://doi.org/10.22034/APJCP.2017.18.7.1751
Program evaluation of the inner south community health oral health program for priority populations
Oldroyd, John C., White, Sue, Stephens, Mary, Neil, Andrew A. and Nanayakkara, Vajira. (2017) Program evaluation of the inner south community health oral health program for priority populations. Journal of Health Care for the Poor and Underserved. 28(3), pp. 1222 - 1239. https://doi.org/10.1353/hpu.2017.0107
Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study
Akter, Farjana, Gartoulla, Pragya, Oldroyd, John and Islam, Rakibul M.. (2016) Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study. International Urogynecology Journal. 27(11), pp. 1753 - 1759. https://doi.org/10.1007/s00192-016-3038-0
Improving outcomes for hospital patients with critical bleeding requiring massive transfusion: The Australian and New Zealand Massive Transfusion Registry study methodology
Oldroyd, John C., Venardos, K. M., Aoki, N. J., Zatta, A. J., McQuilten, Z. K., Phillips, L. E., Andrianopoulos, Nick, Cooper, D. J., Cameron, Peter A., Isbister, J. P. and Wood, E. M.. (2016) Improving outcomes for hospital patients with critical bleeding requiring massive transfusion: The Australian and New Zealand Massive Transfusion Registry study methodology. BMC Research Notes. 9(1), pp. 1 - 10. https://doi.org/10.1186/s13104-016-2261-6
The impact of intensive care in a private hospital on patients aged 80 and over: Health-related quality of life, functional status and burden versus benefit
Levinson, Michele, Mills, A., Oldroyd, John, Gellie, A., Barrett, J., Staples, Margaret and Stephenson, G.. (2016) The impact of intensive care in a private hospital on patients aged 80 and over: Health-related quality of life, functional status and burden versus benefit. Internal Medicine Journal. 46(6), pp. 694 - 702. https://doi.org/10.1111/imj.13079
Closing the gap in maternal and child health: A qualitative study examining health needs of migrant mothers in Dandenong, Victoria, Australia
Renzaho, Andre M. N. and Oldroyd, John C.. (2014) Closing the gap in maternal and child health: A qualitative study examining health needs of migrant mothers in Dandenong, Victoria, Australia. Maternal and Child Health Journal. 18(6), pp. 1391 - 1402. https://doi.org/10.1007/s10995-013-1378-7
A focus group study investigating medical decision making in octogenarians of high socioeconomic status with successful outcomes following cardiac surgery
Oldroyd, John C., Levinson, Michele R., Stephenson, Gemma, Rouse, Alice and Leeuwrik, Tina. (2014) A focus group study investigating medical decision making in octogenarians of high socioeconomic status with successful outcomes following cardiac surgery. Australasian Journal on Ageing. 33(3), pp. 174 - 179. https://doi.org/10.1111/ajag.12022