Diabetes prevention at scale: narrative review of findings and lessons from the DIPLOMA evaluation of the NHS Diabetes Prevention Programme in England.
Peter BowerClaudia Soiland-ReyesSimon R HellerPaul WilsonSarah CotterillDavid P FrenchMatt SuttonPublished in: Diabetic medicine : a journal of the British Diabetic Association (2023)
Despite the challenge of translating research evidence into routine NHS delivery at scale, our findings suggest that an individual-level approach to prevention of type 2 diabetes in a 'high-risk' population was more effective than usual care. By embedding evaluation with programme delivery and working closely with the NHS DPP team, we provided actionable insights for improving communications with potential participants, supporting primary care referral, honing the delivery model with better provider relationships and more patient choice, increasing understanding of behaviour change techniques, and enriching the educational and health coaching content.
Keyphrases
- primary care
- patient safety
- type diabetes
- healthcare
- cardiovascular disease
- palliative care
- quality improvement
- study protocol
- public health
- glycemic control
- mental health
- randomized controlled trial
- case report
- clinical practice
- adipose tissue
- clinical trial
- risk assessment
- skeletal muscle
- general practice
- health information
- health promotion