Journal article

A peer-support lifestyle intervention for preventing type 2 diabetes in India: A cluster-randomized controlled trial of the Kerala Diabetes Prevention Program

KR Thankappan, T Sathish, RJ Tapp, JE Shaw, M Lotfaliany, R Wolfe, P Absetz, E Mathews, Z Aziz, ED Williams, EB Fisher, PZ Zimmet, A Mahal, S Balachandran, F D'Esposito, P Sajeev, E Thomas, B Oldenburg

Plos Medicine | PUBLIC LIBRARY SCIENCE | Published : 2018

Open access

Abstract

Background: The major efficacy trials on diabetes prevention have used resource-intensive approaches to identify high-risk individuals and deliver lifestyle interventions. Such strategies are not feasible for wider implementation in low- and middle-income countries (LMICs). We aimed to evaluate the effectiveness of a peer-support lifestyle intervention in preventing type 2 diabetes among high-risk individuals identified on the basis of a simple diabetes risk score. Methods and findings: The Kerala Diabetes Prevention Program was a cluster-randomized controlled trial conducted in 60 polling areas (clusters) of Neyyattinkara taluk (subdistrict) in Trivandrum district, Kerala state, India. Part..

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University of Melbourne Researchers