Journal article

A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: implementation evaluation of the Kerala Diabetes Prevention Program

Zahra Aziz, Elezebeth Mathews, Pilvikki Absetz, Thirunavukkarasu Sathish, John Oldroyd, Sajitha Balachandran, Suman S Shetty, KR Thankappan, Brian Oldenburg

IMPLEMENTATION SCIENCE | BMC | Published : 2018

Abstract

BACKGROUND: While several efficacy trials have demonstrated diabetes risk reduction through targeting key lifestyle behaviours, there is a significant evidence gap in relation to the successful implementation of such interventions in low- and middle-income countries (LMICs). This paper evaluates the implementation of a cluster randomised controlled trial of a group-based lifestyle intervention among individuals at high-risk of developing type 2 diabetes mellitus (T2DM) in the state of Kerala, India. Our aim is to uncover provider-, participant- and community-level factors salient to successful implementation and transferable to other LMICs. METHODS: The 12-month intervention program consiste..

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Grants

Awarded by National Health and Medical Research Council, Australia


Funding Acknowledgements

K-DPP was funded by the National Health and Medical Research Council, Australia (Project Grant ID 1005324). The funders had no involvement in the study design; collection, analysis and interpretation of data; writing of the report; and the decision to submit the article for publication.