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



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..

View full abstract