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A community faith centre based screening and educational intervention to reduce the risk of type 2 diabetes: A feasibility study.

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journal contribution
posted on 11.10.2016, 14:27 by A. Willis, M. Roshan, N. Patel, Laura J. Gray, T. Yates, Melanie Davies, Kamlesh Khunti
AIMS: People of South Asian origin experience higher rates of diabetes and complications of diabetes compared to white Europeans. Therefore, it is important to identify those with undiagnosed diabetes and those at high risk of developing diabetes, in order to intervene with lifestyle intervention to reduce risk and prevent complications. We conducted a study to assess the feasibility of delivering a faith centre based pathway for screening and referral to group education for high risk individuals to increase screening uptake and reduce diabetes risk. METHODS: Opportunistic screening and early intervention strategy for people at risk of diabetes and cardiovascular disease in local faith centres. The screening consisted of a diabetes risk assessment tool and a near patient test for HbA1c. Participants found to be at high risk of diabetes (HbA1c 6-6.4%/42-46mmol/mol) were offered a 'Walking Away from Diabetes' group educational intervention aimed at increasing exercise levels and reducing diabetes risk. RESULTS: 252 participants were screened during four screening events. 202 participants (80.2%) gave consent for their data to be included in the analysis. 72.4% of participants were found to have a high diabetes risk score. 32 participants (15.8%) had a HbA1c result (6-6.4%/42-46mmol/mol). Eight participants (4.0%) had a (HbA1c ⩾6.5%/⩾47mmol/mol). Of those eligible for the diabetes prevention education programme, 18 participants (56.3%) attended. CONCLUSIONS: This study confirms that screening followed by group education within faith centre settings is feasible and acceptable to participants. The strategies chosen were effective in achieving a high screening yield and high uptake of group education.

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Citation

Diabetes Research and Clinical Practice, 2016, 120, pp. 73-80

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Cardiovascular Sciences

Version

AM (Accepted Manuscript)

Published in

Diabetes Research and Clinical Practice

Publisher

Elsevier for International Diabetes Federation

eissn

1872-8227

Acceptance date

30/07/2016

Copyright date

2016

Available date

06/08/2017

Publisher version

http://www.sciencedirect.com/science/article/pii/S0168822716303035

Language

en

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