A large-scale diabetes prevention program in real-life settings in Qingdao of China (2006–2012)

Qiao, Qing; Pang, Zengchang; Gao, Weiguo; Wang, Shaojie; Dong, Y H; Zhang, Lei; Nan, Hairong; Ren, Jie

doi:10.1016/j.pcd.2010.04.003

Cited by 20 publications

(21 citation statements)

References 18 publications

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“…Intensive behavioral therapy has strong efficacy data for weight loss, diabetes prevention, and cardiovascular disease risk reduction from several large trials, 54,55 but implementation has been slow. 56 As gatekeepers of health care in the US, primary care physicians have enormous opportunities to address obesity at the level of the individual and broader population.…”

Section: Resultsmentioning

confidence: 99%

An Evidence-based Guide for Obesity Treatment in Primary Care

Fitzpatrick

Wischenka

Appelhans

et al. 2016

The American Journal of Medicine

104

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On behalf of the Society of Behavioral Medicine, we present a model of obesity management in primary care based on the 5As counseling framework (Assess, Advise, Agree, Assist, and Arrange). Primary care physicians can use the 5As framework to build and coordinate a multidisciplinary team that: 1) addresses patients’ psychosocial issues and medical and psychiatric comorbidities associated with obesity treatment failure; 2) delivers intensive counseling that consists of goal setting, self-monitoring, and problem solving; and 3) connects patients with community resources to assist them in making healthy lifestyle changes. This paper outlines reimbursement guidelines and weight-management counseling strategies, and provides a framework for building a multidisciplinary team to maximize the patient’s success at weight management.

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Section: Resultsmentioning

confidence: 99%

An Evidence-based Guide for Obesity Treatment in Primary Care

Fitzpatrick

Wischenka

Appelhans

et al. 2016

The American Journal of Medicine

104

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“…372,373 This study, sponsored by Helsinki University, aims to translate the trial experience to real-life settings with goals to (1) raise the public awareness of diabetes and diabetes risk factors, and promote healthy diet and physical activity; (2) reduce the number of people at high-risk of developing diabetes through lifestyle counselling; (3) attain early diagnosis of diabetes; and (4) evaluate the clinical effectiveness, cost-effectiveness, feasibility, acceptability and sustainability of the programmes. The project involves community-based targeting of the entire population of 1.94 million people living in four administration districts of the city of Qingdao in China.…”

Section: Ongoing Researchmentioning

confidence: 99%

Non-pharmacological interventions to reduce the risk of diabetes in people with impaired glucose regulation: a systematic review and economic evaluation.

Gillett

Royle²,

Snaith³

et al. 2012

Health Technol Assess

116

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projec...

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“…in Finland,[13] Germany,[14,15] the US,[16,17] Australia[18] and China[19]). However, national diabetes prevention strategies are still lacking in many countries.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions

et al. 2011

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BackgroundTo develop more efficient programmes for promoting dietary and/or physical activity change (in order to prevent type 2 diabetes) it is critical to ensure that the intervention components and characteristics most strongly associated with effectiveness are included. The aim of this systematic review of reviews was to identify intervention components that are associated with increased change in diet and/or physical activity in individuals at risk of type 2 diabetes.MethodsMEDLINE, EMBASE, CINAHL, PsycInfo, and the Cochrane Library were searched for systematic reviews of interventions targeting diet and/or physical activity in adults at risk of developing type 2 diabetes from 1998 to 2008. Two reviewers independently selected reviews and rated methodological quality. Individual analyses from reviews relating effectiveness to intervention components were extracted, graded for evidence quality and summarised.ResultsOf 3856 identified articles, 30 met the inclusion criteria and 129 analyses related intervention components to effectiveness. These included causal analyses (based on randomisation of participants to different intervention conditions) and associative analyses (e.g. meta-regression). Overall, interventions produced clinically meaningful weight loss (3-5 kg at 12 months; 2-3 kg at 36 months) and increased physical activity (30-60 mins/week of moderate activity at 12-18 months). Based on causal analyses, intervention effectiveness was increased by engaging social support, targeting both diet and physical activity, and using well-defined/established behaviour change techniques. Increased effectiveness was also associated with increased contact frequency and using a specific cluster of "self-regulatory" behaviour change techniques (e.g. goal-setting, self-monitoring). No clear relationships were found between effectiveness and intervention setting, delivery mode, study population or delivery provider. Evidence on long-term effectiveness suggested the need for greater consideration of behaviour maintenance strategies.ConclusionsThis comprehensive review of reviews identifies specific components which are associated with increased effectiveness in interventions to promote change in diet and/or physical activity. To maximise the efficiency of programmes for diabetes prevention, practitioners and commissioning organisations should consider including these components.

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A large-scale diabetes prevention program in real-life settings in Qingdao of China (2006–2012)

Cited by 20 publications

References 18 publications

An Evidence-based Guide for Obesity Treatment in Primary Care

An Evidence-based Guide for Obesity Treatment in Primary Care

Non-pharmacological interventions to reduce the risk of diabetes in people with impaired glucose regulation: a systematic review and economic evaluation.

Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions

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