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Development of a multi-component lifestyle intervention for preventing type 2 diabetes and cardiovascular risk factors in adults with intellectual disabilities

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journal contribution
posted on 14.08.2017, 11:55 by A. J. Dunkley, Freya Catherine Tyrer, Y. Doherty, L. Martin-Stacey, N. Patel, R. Spong, C. Makepeace, S. Bhaumik, S. K. Gangadharan, T. Yates, M. J. Davies, K. Khunti
Background: We report on the development of the ‘STOP Diabetes’ education programme, a multi-component lifestyle behaviour change intervention for the prevention of type 2 diabetes and cardiovascular risk factors in adults with intellectual disabilities (ID). Methods: We combined qualitative stakeholder interviews with evidence reviews to develop the intervention, guided by the MRC Framework and informed by intervention mapping and two existing diabetes prevention programmes. We conducted two pilot cycles drawing on additional stakeholder interviews to inform and refine the intervention. Results: The STOP Diabetes education programme employed a theoretical framework, using sound learning and behavioural principles and concrete kinaesthetic methods, to provide the grounding for innovative games and activities to promote health behaviour change in adults with ID. Qualitative data also suggested that two educators and one support person delivering a programme of one carer session followed by seven 2.5-h sessions over 7 weeks was acceptable to service users, carers and educators and appeared to benefit the participants. Conclusions: The STOP Diabetes education programme was successfully developed and is suitable for a definitive randomized controlled trial.

History

Citation

Journal of Public Health, 2017, in press

Author affiliation

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

Version

AM (Accepted Manuscript)

Published in

Journal of Public Health

Publisher

Oxford University Press (OUP) for Royal Colleges of Physicians of the United Kingdom, Faculty of Public Health

issn

1741-3842

eissn

1741-3850

Acceptance date

30/05/2017

Copyright date

2017

Available date

17/06/2018

Publisher version

https://academic.oup.com/jpubhealth/article/doi/10.1093/pubmed/fdx067/3869508/Development-of-a-multi-component-lifestyle

Notes

The file associated with this record is under embargo until 12 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.

Language

en

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