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Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation

BACKGROUND: We report development of a group-based lifestyle intervention, Let's Prevent, using the UK Medical Research Council (MRC) framework, and delivered by structured education to prevent type 2 diabetes mellitus (T2DM) in people with impaired glucose regulation (IGR) in a UK multi-ethnic...

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Autores principales: Troughton, Jacqui, Chatterjee, Sudesna, Hill, Siân E., Daly, Heather, Martin Stacey, Lorraine, Stone, Margaret A., Patel, Naina, Khunti, Kamlesh, Yates, Thomas, Gray, Laura J., Davies, Melanie J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5072159/
https://www.ncbi.nlm.nih.gov/pubmed/26311822
http://dx.doi.org/10.1093/pubmed/fdv110
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author Troughton, Jacqui
Chatterjee, Sudesna
Hill, Siân E.
Daly, Heather
Martin Stacey, Lorraine
Stone, Margaret A.
Patel, Naina
Khunti, Kamlesh
Yates, Thomas
Gray, Laura J.
Davies, Melanie J.
author_facet Troughton, Jacqui
Chatterjee, Sudesna
Hill, Siân E.
Daly, Heather
Martin Stacey, Lorraine
Stone, Margaret A.
Patel, Naina
Khunti, Kamlesh
Yates, Thomas
Gray, Laura J.
Davies, Melanie J.
author_sort Troughton, Jacqui
collection PubMed
description BACKGROUND: We report development of a group-based lifestyle intervention, Let's Prevent, using the UK Medical Research Council (MRC) framework, and delivered by structured education to prevent type 2 diabetes mellitus (T2DM) in people with impaired glucose regulation (IGR) in a UK multi-ethnic population. METHODS: Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) is the first national T2DM programme that meets National Institute for Health and Care Excellence criteria and formed the basis for Let's Prevent. An iterative cycle of initial development, piloting, collecting and collating qualitative and quantitative data, and reflection and modification, was used to inform and refine lifestyle intervention until it was fit for evaluation in a definitive randomized controlled trial (RCT). The programme encouraged IGR self-management using simple, non-technical language and visual aids. RESULTS: Qualitative and quantitative data suggested that intervention resulted in beneficial short-term behaviour change such as healthier eating patterns, improved health beliefs and greater participant motivation and empowerment. We also demonstrated that recruitment strategy and data collection methods were feasible for RCT implementation. CONCLUSIONS: Let's Prevent was developed following successful application of MRC framework criteria and the subsequent RCT will determine whether it is feasible, reliable and transferable from research into a real-world NHS primary healthcare setting. TRIAL REGISTRATION: ISRCTN80605705.
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spelling pubmed-50721592016-10-21 Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation Troughton, Jacqui Chatterjee, Sudesna Hill, Siân E. Daly, Heather Martin Stacey, Lorraine Stone, Margaret A. Patel, Naina Khunti, Kamlesh Yates, Thomas Gray, Laura J. Davies, Melanie J. J Public Health (Oxf) Original Article BACKGROUND: We report development of a group-based lifestyle intervention, Let's Prevent, using the UK Medical Research Council (MRC) framework, and delivered by structured education to prevent type 2 diabetes mellitus (T2DM) in people with impaired glucose regulation (IGR) in a UK multi-ethnic population. METHODS: Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) is the first national T2DM programme that meets National Institute for Health and Care Excellence criteria and formed the basis for Let's Prevent. An iterative cycle of initial development, piloting, collecting and collating qualitative and quantitative data, and reflection and modification, was used to inform and refine lifestyle intervention until it was fit for evaluation in a definitive randomized controlled trial (RCT). The programme encouraged IGR self-management using simple, non-technical language and visual aids. RESULTS: Qualitative and quantitative data suggested that intervention resulted in beneficial short-term behaviour change such as healthier eating patterns, improved health beliefs and greater participant motivation and empowerment. We also demonstrated that recruitment strategy and data collection methods were feasible for RCT implementation. CONCLUSIONS: Let's Prevent was developed following successful application of MRC framework criteria and the subsequent RCT will determine whether it is feasible, reliable and transferable from research into a real-world NHS primary healthcare setting. TRIAL REGISTRATION: ISRCTN80605705. Oxford University Press 2016-09 2016-10-17 /pmc/articles/PMC5072159/ /pubmed/26311822 http://dx.doi.org/10.1093/pubmed/fdv110 Text en © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Troughton, Jacqui
Chatterjee, Sudesna
Hill, Siân E.
Daly, Heather
Martin Stacey, Lorraine
Stone, Margaret A.
Patel, Naina
Khunti, Kamlesh
Yates, Thomas
Gray, Laura J.
Davies, Melanie J.
Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation
title Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation
title_full Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation
title_fullStr Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation
title_full_unstemmed Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation
title_short Development of a lifestyle intervention using the MRC framework for diabetes prevention in people with impaired glucose regulation
title_sort development of a lifestyle intervention using the mrc framework for diabetes prevention in people with impaired glucose regulation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5072159/
https://www.ncbi.nlm.nih.gov/pubmed/26311822
http://dx.doi.org/10.1093/pubmed/fdv110
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