Recruitment, retention, and training of people with type 2 diabetes as diabetes prevention mentors (DPM) to support a healthcare professional-delivered diabetes prevention program: the Norfolk Diabetes Prevention Study (NDPS)
dc.contributor.author | Garner, NJ | |
dc.contributor.author | Pascale, M | |
dc.contributor.author | France, K | |
dc.contributor.author | Ferns, C | |
dc.contributor.author | Clark, A | |
dc.contributor.author | Auckland, S | |
dc.contributor.author | Sampson, M | |
dc.date.accessioned | 2022-11-24T13:48:54Z | |
dc.date.issued | 2019-05-27 | |
dc.date.updated | 2022-11-24T13:31:04Z | |
dc.description.abstract | Objective: Intensive lifestyle interventions reduce the risk of type 2 diabetes in populations at highest risk, but staffing levels are usually unable to meet the challenge of delivering effective prevention strategies to a very large at-risk population. Training volunteers with existing type 2 diabetes to support healthcare professionals deliver lifestyle interventions is an attractive option. Methods: We identified 141 973 people at highest risk of diabetes in the East of England, screened 12 778, and randomized 1764 into a suite of type 2 diabetes prevention and screen detected type 2 diabetes management trials. A key element of the program tested the value of volunteers with type 2 diabetes, trained to act as diabetes prevention mentors (DPM) when added to an intervention arm delivered by healthcare professionals trained to support participant lifestyle change. Results: We invited 9951 people with type 2 diabetes to become DPM and 427 responded (4.3%). Of these, 356 (83.3%) were interviewed by phone, and of these 131 (36.8%) were interviewed in person. We then appointed 104 of these 131 interviewed applicants (79%) to the role (mean age 62 years, 55% (n=57) male). All DPMs volunteered for a total of 2895 months, and made 6879 telephone calls to 461 randomized participants. Seventy-six (73%) DPMs volunteered for at least 6 months and 66 (73%) for at least 1 year. Discussion: Individuals with type 2 diabetes can be recruited, trained and retained as DPM in large numbers to support a group-based diabetes prevention program delivered by healthcare professionals. This volunteer model is low cost, and accesses the large type 2 diabetes population that shares a lifestyle experience with the target population. This is an attractive model for supporting diabetes prevention efforts. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.format.extent | e000619- | |
dc.format.medium | Electronic-eCollection | |
dc.identifier.citation | Vol. 7(1), article e000619 | en_GB |
dc.identifier.doi | https://doi.org/10.1136/bmjdrc-2018-000619 | |
dc.identifier.grantnumber | RP-PG-0109-10013 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/131845 | |
dc.language.iso | en | en_GB |
dc.publisher | BMJ Publishing Group | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/31245004 | en_GB |
dc.rights | © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ | en_GB |
dc.title | Recruitment, retention, and training of people with type 2 diabetes as diabetes prevention mentors (DPM) to support a healthcare professional-delivered diabetes prevention program: the Norfolk Diabetes Prevention Study (NDPS) | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2022-11-24T13:48:54Z | |
dc.identifier.issn | 2052-4897 | |
exeter.place-of-publication | England | |
dc.description | This is the final version. Available on open access from BMJ Publishing Group via the DOI in this record | en_GB |
dc.description | Data availability statement: Data are available upon reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information. | en_GB |
dc.identifier.eissn | 2052-4897 | |
dc.identifier.journal | BMJ Open Diabetes Research and Care | en_GB |
dc.relation.ispartof | BMJ Open Diabetes Res Care, 7(1) | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | en_GB |
dcterms.dateAccepted | 2019-04-26 | |
dc.rights.license | CC BY-NC | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2019-05-27 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2022-11-24T13:46:34Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2022-11-24T13:48:55Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2019-05-27 |
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Except where otherwise noted, this item's licence is described as © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/