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The challenges and lessons from a formative process and value-based evaluation of the wave 1 roll-out of the all Wales Diabetes Prevention Programme

Sharon Parsons Orcid Logo, Liv Kosnes Orcid Logo, Pippa Anderson, Shaun Harris Orcid Logo, Rhys Thatcher, Barbara Harrington, Jan Davies, Deborah Fitzsimmons Orcid Logo, Steve Luzio Orcid Logo

BMC Public Health, Volume: 24, Issue: 1

Swansea University Authors: Sharon Parsons Orcid Logo, Liv Kosnes Orcid Logo, Pippa Anderson, Shaun Harris Orcid Logo, Deborah Fitzsimmons Orcid Logo, Steve Luzio Orcid Logo

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Abstract

BackgroundThe All Wales Diabetes Prevention Programme (AWDPP) is a Wales wide, public health initiative designed to systematically identify adults at risk of developing type 2 diabetes and offer a 30-minute person-centred lifestyle conversation focused on diet and physical activity. An independent f...

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Published in: BMC Public Health
ISSN: 1471-2458
Published: Springer Science and Business Media LLC 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa67955
Abstract: BackgroundThe All Wales Diabetes Prevention Programme (AWDPP) is a Wales wide, public health initiative designed to systematically identify adults at risk of developing type 2 diabetes and offer a 30-minute person-centred lifestyle conversation focused on diet and physical activity. An independent formative process and value-based evaluation was commissioned to examine the implementation of this programme in 14 primary care cluster areas across Wales during the initial roll-out.MethodsThis evaluation was undertaken to ascertain the views on early implementation of the programme from service users, health care professionals and key stakeholders. The evaluation was informed by the Medical Research Council Framework for Process Evaluation and Wales Prudent Healthcare principles. As part of the value-based assessment, a preliminary cost-consequence analysis was conducted to understand the short-term economic impact of the implementation of the programme.ResultsService users who took part in the evaluation highly valued the programme and nearly half had been previously unaware that they were at risk of developing type 2 diabetes. Delivering the programme presented challenges but there was significant enthusiasm and support from all stakeholders. Overall, the programme was being delivered as intended albeit with evidence of some variation in the application of the programme eligibility criteria.ConclusionsIn Wave 1 of the AWDPP roll-out, the intent to deliver the programme in line with Prudent Healthcare was successful and promising in terms of demonstrating value. Opinions expressed by service users suggest the AWDPP matters to them; raising awareness, promoting knowledge and capacity to change behaviours and motivate and raise confidence.
Keywords: Type 2 diabetes prevention; Prediabetes; Prevention and control; Programme evaluation
College: Faculty of Medicine, Health and Life Sciences
Funders: The evaluation was funded by Public Health Wales, following a competitive tender process. A consortium of researchers and public contributors from Swansea, Aberystwyth and Bangor Universities (SABU), led by Swansea University, was awarded the contract. The contractual start date was January 2022 and end date March 2023. LK (until 01.10.2022), PA, SH and DF are members of Health and Care Economics Cymru (HCEC), who supported the time for these individuals to write the original tender and supported the time for writing up (PA, SH, DF). HCEC is funded by Welsh Government through Health and Care Research Wales.
Issue: 1