Implementation of a diabetes prevention programme in a multi-ethnic community in primary care in England: An evaluation using constructs from the RE-AIM Framework

Dallosso, Helen; Khunti, Kamlesh; Gray, Laura J.; Hulley, Kerry; Ghaly, Mel; Patel, Naina; Kai, Joe; Aujla, Navneet; Davies, Melanie J.; Yates, Tom

Abstract

Aims: To implement a diabetes prevention programme in primary care Methods: The programme was implemented for 12 months in two neighbouring towns, served by eight general practices. Practices requested a referral pathway involving an external administrator running electronic searches and sending postal invitations. If interested, people called and booked a place on the programme. Practices were also provided with resources to refer people directly. Six Educators were trained to deliver the programme. The RE-AIM constructs “Adoption”, “Reach” and “Uptake” were assessed. Results: All practices engaged in the searches and postal invitations. Overall, 3.9 % of those aged ≥ 25 years had an HbA1c level indicative of non-diabetic hyperglycaemia (NDH) and were invited. Overall uptake (attended as percentage of invited) was 16 % (practice range 10.5–26.6 %) and was highest in two practices where the invitation was followed by a telephone call. Four people were referred directly by their practice. Groups at risk of being excluded were the Bengali population and those unable to attend because of issues such as health, mobility and frailty. Conclusions: Comprehensive electronic searches meant everyone previously diagnosed with NDH was invited to attend. Follow-up telephone call improved uptake and providing practices with resources to make these calls themselves would likely increase uptake further.

Citation

Dallosso, H., Khunti, K., Gray, L. J., Hulley, K., Ghaly, M., Patel, N., Kai, J., Aujla, N., Davies, M. J., & Yates, T. (2023). Implementation of a diabetes prevention programme in a multi-ethnic community in primary care in England: An evaluation using constructs from the RE-AIM Framework. Primary Care Diabetes, 17(4), 309-313. https://doi.org/10.1016/j.pcd.2023.05.001

• Journal Article Type: Article
• Acceptance Date: May 11, 2023
• Online Publication Date: May 26, 2023
• Publication Date: 2023-08
• Deposit Date: May 31, 2023
• Publicly Available Date: May 31, 2023
• Journal: Primary Care Diabetes
• Print ISSN: 1751-9918
• Electronic ISSN: 1878-0210
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 17
• Issue: 4
• Pages: 309-313
• DOI: https://doi.org/10.1016/j.pcd.2023.05.001
• Keywords: Diabetes prevention; RE-AIM; Primary care
• Public URL: https://nottingham-repository.worktribe.com/output/21368971
• Publisher URL: https://www.primary-care-diabetes.com/article/S1751-9918(23)00096-7/fulltext
• Additional Information: This article is maintained by: Elsevier; Article Title: Implementation of a diabetes prevention programme in a multi-ethnic community in primary care in England: An evaluation using constructs from the RE-AIM Framework; Journal Title: Primary Care Diabetes; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.pcd.2023.05.001; Content Type: article; Copyright: © 2023 The Authors. Published by Elsevier Ltd on behalf of Primary Care Diabetes Europe.