Evaluation of the digital diabetes prevention programme pilot: uncontrolled mixed-methods study protocol

Murray, Elizabeth; Daff, Kerry; Lavida, Anthi; Henley, William; Irwin, Jenny; Valabhji, Jonathan

doi:10.1136/bmjopen-2018-025903

Cited by 16 publications

(22 citation statements)

References 44 publications

(18 reference statements)

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“…As such, they might be more motivated to try to change their lifestyle, or since their BMIs were higher it might be easier to lose weight and improve anthropometric outcomes. This mirrors international research of targeted intensive lifestyle change among people with pre-diabetes [ 36 ]; but uncertainty remains about the ability to scale-up such interventions to whole populations [ 37 , 38 ], particularly in the GCC countries.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of interventions to promote physical activity in six Gulf countries

et al. 2021

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Physical activity (PA) levels are low in Gulf Cooperation Council countries (GCC; Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, United Arab Emirates). We carried out a systematic review (PROSPERO registration number 131817) to assess the effect of interventions to increase PA levels in this region. We also assessed their effects on anthropometry and cardiovascular risk. A systematic search of six databases (Medline, EMBASE, SPORTDiscus, CINAHL, Cochrane, Web of Science) was performed to identify randomized and non-randomized intervention studies performed in adults and children published between January 1985 and November 2020. We included studies published in English or Arabic, and included PA interventions regardless of setting, delivery, and duration. The primary outcomes were changes in PA duration and intensity. Secondary outcomes included anthropometric measures (e.g., weight, body mass index) and cardiovascular risk profiles (e.g., lipid measures, blood glucose). Two independent reviewers screened studies in accordance with pre-determined criteria, extracted data, assessed risk of bias (Cochrane Risk of Bias 2 and Newcastle Ottawa Scale) and undertook a narrative synthesis. From 13,026 records identified, 14 studies were included. Nine studies focussed exclusively on changing PA behaviour, resulting in statistically significant increases in step count ranging from an additional 757 steps/day (95% confidence interval [CI] 0–1,513) to 3,853 steps/day (95% CI 3,703–4,002). Five identified studies were multi-component lifestyle interventions, targeting people at higher risk (due to obesity or type 2 diabetes). Evidence for increases in PA from multi-component studies was limited, although improvements were seen in outcomes e.g. body weight and blood lipid levels. In conclusion, relatively few studies have focussed on changing PA behaviour, despite the urgent need in the GCC. Limited evidence suggested that pedometer-based programmes encouraging step counting and walking were effective in promoting PA, at least in the short term. Policies to roll out such interventions should be implemented and evaluated.

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Section: Discussionmentioning

confidence: 99%

A systematic review of interventions to promote physical activity in six Gulf countries

et al. 2021

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“…Such programs have been shown to be associated with weight loss, although the effects on glycemic control are less clear (27). A large uncontrolled pilot of digital prevention interventions conducted in live service environments in England is currently under way (28).…”

Section: Implications Of This Evaluationmentioning

confidence: 99%

Early Outcomes From the English National Health Service Diabetes Prevention Programme

Valabhji

Barron

Bradley³

et al. 2019

Diabetes Care

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127

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To assess weight and HbA 1c changes in the Healthier You: National Health Service Diabetes Prevention Programme (NHS DPP), the largest DPP globally to achieve universal population coverage. RESEARCH DESIGN AND METHODS A service evaluation assessed intervention effectiveness for adults with nondiabetic hyperglycemia (HbA 1c 42-47 mmol/mol [6.0-6.4%] or fasting plasma glucose 5.5-6.9 mmol/L) between program launch in June 2016 and December 2018, using prospectively collected, national service-level data in England.

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“…In light of these uncertainties, the NHS in England (led by the commissioning organization, NHS England), commissioned a pilot digital stream of the diabetes prevention programme (DDPP) with associated evaluation. 21 The digital stream offers similar support, assistance and guidance as the DPP but through the use of digital interventions such as wearable technologies that monitor levels of exercise, apps which allow users to access health coaches, online peer support groups, and the ability to set and monitor goals electronically.…”

Section: Introductionmentioning

confidence: 99%

Uptake and impact of the English National Health Service digital diabetes prevention programme: observational study

Ross

Barron²,

McGough³

et al. 2022

BMJ Open Diab Res Care

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Introduction‘Healthier You’, the National Health Service (NHS) diabetes prevention programme (DPP) offers adults in England at high risk of type 2 diabetes (T2DM) an evidence-based behavioral intervention to prevent or delay T2DM onset. This study assesses the impact of a pilot digital stream of the DPP (DDPP) on glycated hemoglobin (HbA1c) and weight.Research design and methodsA service evaluation employing prospectively collected data in a prospective cohort design in nine NHS local pilot areas across England. Participants were adults with non-diabetic hyperglycemia (NDH) (HbA1c 42–47 mmol/mol or fasting plasma glucose 5.5–6.9 mmol/L) in the 12 months prior to referral. The DDPP comprised five digital health interventions (DHI). Joint primary outcomes were changes in HbA1c and weight between baseline and 12 months. HbA1c and weight readings were recorded at referral (baseline) by general practices, and then at 12-month postregistration. Demographic data and service variables were collected from the DHI providers.Results3623 participants with NDH registered for the DDPP and of these, 2734 (75%) were eligible for inclusion in the analyses. Final (12-month) follow-up data for HbA1c were available for 1799 (50%) and for weight 1817 (50%) of registered participants. Mean change at 12 months was −3.1 (−3.4 to −2.8) kg, p<0.001 for weight and −1.6 (−1.8 to −1.4) mmol/mol, p<0.001 for HbA1c. Access to peer support and a website and telephone service was associated with significantly greater reductions in HbA1c and weight.ConclusionsParticipation in the DDPP was associated with clinically significant reductions in weight and HbA1c. Digital diabetes prevention can be an effective and wide-reaching component of a population-based approach to addressing type 2 diabetes prevention.

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Evaluation of the digital diabetes prevention programme pilot: uncontrolled mixed-methods study protocol

Cited by 16 publications

References 44 publications

A systematic review of interventions to promote physical activity in six Gulf countries

A systematic review of interventions to promote physical activity in six Gulf countries

Early Outcomes From the English National Health Service Diabetes Prevention Programme

Uptake and impact of the English National Health Service digital diabetes prevention programme: observational study

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