Prevention of Type 2 Diabetes by lifestyle intervention in an Australian primary health care setting: Greater Green Triangle (GGT) Diabetes Prevention Project

Laatikainen, Tiina; Dunbar, James; Chapman, Anna; Kilkkinen, Annamari; Vartiainen, Erkki; Heistaro, Sami; Philpot, Benjamin; Absetz, Pilvikki; Bunker, Stephen; O’Neil, Adrienne; Reddy, Prasuna; Best, James D.; Janus, Edward

doi:10.1186/1471-2458-7-249

Cited by 202 publications

(246 citation statements)

References 25 publications

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“…It is generally acknowledged that the intensity of the lifestyle intervention delivered in these trials is just not feasible in routine practice (Heneghan et al, 2006). A more pragmatic, yet effective, intervention is needed and several research groups in the UK are working on this issue, as are colleagues in Australia Laatikainen et al, 2007).…”

Section: Prevention Of Type 2 Diabetesmentioning

confidence: 99%

Type 2 Diabetes Mellitus in Family Practice: Prevention and Screening

Evans¹,

Wright²,

Gray³

et al. 2011

Topics in the Prevention, Treatment and Complications of Type 2 Diabetes

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Section: Prevention Of Type 2 Diabetesmentioning

confidence: 99%

Type 2 Diabetes Mellitus in Family Practice: Prevention and Screening

Evans¹,

Wright²,

Gray³

et al. 2011

Topics in the Prevention, Treatment and Complications of Type 2 Diabetes

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“…There has been limited research examining how effective LMPs for prevention of chronic disease are when implemented in general practice in Australia (Harris et al 2003). The Do It For Life program targets patients at 'high' risk of preventable chronic disease (The Flinders Program 2010) and a previous study in Victoria focussed on patients at risk of diabetes (Laatikainen et al 2007). However, HIPS is the first known study in Australia that specifically targets patients at risk of vascular diseases (cardiovascular disease, renal disease and diabetes).…”

Section: Sustainability Of Lmps Within General Practice Settingsmentioning

confidence: 99%

How feasible are lifestyle modification programs for disease prevention in general practice?

Schütze

Rix

Laws

et al. 2012

Aust. J. Prim. Health

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Vascular disease is a leading cause of death and disability. While it is preventable, little is known about the feasibility or acceptability of implementing interventions to prevent vascular disease in Australian primary health care. We conducted a cluster randomised controlled trial assessing prevention of vascular disease in patients aged 40–65 by providing a lifestyle modification program in general practice. Interviews with 13 general practices in the intervention arm of this trial examined their views on implementing the lifestyle modification program in general practice settings. Qualitative study, involving thematic analysis of semi-structured interviews with 11 general practitioners, four practice nurses and five allied health providers between October 2009 and April 2010. Providing brief lifestyle intervention fitted well with routine health-check consultations; however, acceptance and referral to the program was dependent on the level of facilitation provided by program coordinators. Respondents reported that patients engaged with the advice and strategies provided in the program, which helped them make lifestyle changes. Practice nurse involvement was important to sustaining implementation in general practice, while the lack of referral services for people at risk of developing vascular disease threatens maintenance of lifestyle changes as few respondents thought patients would continue lifestyle changes without long-term follow up. Lifestyle modification programs to prevent vascular disease are feasible in general practice but must be provided in a flexible format, such as being offered out of hours to facilitate uptake, with ongoing support and follow up to assist maintenance. The newly formed Medicare Locals may have an important role in facilitating lifestyle modification programs for this target group.

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“…Life! has a direct lineage from the Finnish Diabetes Prevention Study (DPS) (2), Good Ageing in Lahti Region (GOAL) Implementation Trial (9), and GGT DPP (4,10). Additionally, the Department of Health Victoria had experience of its Healthy Living Course DPP (11).…”

Section: Establishing a Statewide Prevention Program In Victoriamentioning

confidence: 99%

“…Randomized controlled trials showed that progression to type 2 diabetes in high-risk individuals can be prevented through lifestyle behaviorchange programs (1)(2)(3). Feasibility of such a program in the Australian setting was tested in the Greater Green Triangle (GGT) Diabetes Prevention Program (DPP) (4). In 2007, the Australian state of Victoria established the first systematic, full-scale type 2 DPP in the world, known as the Life!…”

mentioning

confidence: 99%

Scaling Up Diabetes Prevention in Victoria, Australia: Policy Development, Implementation, and Evaluation

Dunbar¹,

Jayawardena²,

Johnson

et al. 2014

Diabetes Care

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OBJECTIVEThe Australian lifestyle intervention program Life! is only the second reported, large-scale diabetes prevention program. This article describes the genesis and the successful establishment of Life! and its key outcomes for participants and implementation. RESEARCH DESIGN AND METHODSLife!, a behavior-change intervention, comprises six group sessions over 8 months. The Victorian Department of Health funded Diabetes Australia-Victoria to implement the program. Experience of the Greater Green Triangle diabetes prevention implementation trial was used for intervention design, workforce development, training, and infrastructure. Clinical and anthropometric data from participants, used for program evaluation, were recorded on a central database. RESULTSLife! has a statewide workforce of 302 trained facilitators within 137 organizations. Over 29,000 Victorians showed interest in Life!, and 15,000 individuals have been referred to the program. In total, 8,412 participants commenced a Life! program between October 2007 and June 2011, and 37% of the original participants completed the 8-month program. Participants completing sessions 1 to 5 lost an average of 1.4 kg weight (P < 0.001) and waist circumference of 2.5 cm (P < 0.001). Those completing six sessions lost an average of 2.4 kg weight (P < 0.001) and waist circumference of 3.8 cm (P < 0.001). The weight loss of 2.4 kg represents 2.7% of participants' starting body weight. CONCLUSIONSThe impact of Life! is attributable to applying available evidence for the system's design of the intervention and collaboration between policy makers, implementers, and evaluators using the principles of continuous quality improvement to support successful, large-scale recruitment and implementation.

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Prevention of Type 2 Diabetes by lifestyle intervention in an Australian primary health care setting: Greater Green Triangle (GGT) Diabetes Prevention Project

Abstract: Background: Randomised controlled trials demonstrate a 60% reduction in type 2 diabetes incidence through lifestyle modification programmes. The aim of this study is to determine whether such programmes are feasible in primary health care.

Cited by 202 publications

References 25 publications

Type 2 Diabetes Mellitus in Family Practice: Prevention and Screening

Type 2 Diabetes Mellitus in Family Practice: Prevention and Screening

How feasible are lifestyle modification programs for disease prevention in general practice?

Scaling Up Diabetes Prevention in Victoria, Australia: Policy Development, Implementation, and Evaluation

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