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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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DOI (Published version): 10.1186/s12889-024-19946-0

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
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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.</abstract><type>Journal Article</type><journal>BMC Public Health</journal><volume>24</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1471-2458</issnElectronic><keywords>Type 2 diabetes prevention; Prediabetes; Prevention and control; Programme evaluation</keywords><publishedDay>13</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-09-13</publishedDate><doi>10.1186/s12889-024-19946-0</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Other</apcterm><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.</funders><projectreference/><lastEdited>2024-11-07T14:33:11.4164137</lastEdited><Created>2024-10-10T15:04:18.3294297</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Biomedical Science</level></path><authors><author><firstname>Sharon</firstname><surname>Parsons</surname><orcid>0000-0002-5841-8309</orcid><order>1</order></author><author><firstname>Liv</firstname><surname>Kosnes</surname><orcid>0000-0001-6982-4479</orcid><order>2</order></author><author><firstname>Pippa</firstname><surname>Anderson</surname><order>3</order></author><author><firstname>Shaun</firstname><surname>Harris</surname><orcid>0000-0001-7724-6621</orcid><order>4</order></author><author><firstname>Rhys</firstname><surname>Thatcher</surname><order>5</order></author><author><firstname>Barbara</firstname><surname>Harrington</surname><order>6</order></author><author><firstname>Jan</firstname><surname>Davies</surname><order>7</order></author><author><firstname>Deborah</firstname><surname>Fitzsimmons</surname><orcid>0000-0002-7286-8410</orcid><order>8</order></author><author><firstname>Steve</firstname><surname>Luzio</surname><orcid>0000-0002-7206-6530</orcid><order>9</order></author></authors><documents><document><filename>67955__32885__7de39ef75a6c44ca9ace94c3e6cc02b8.pdf</filename><originalFilename>67955.VoR.pdf</originalFilename><uploaded>2024-11-07T14:28:24.7734009</uploaded><type>Output</type><contentLength>1291556</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; The Author(s) 2024. 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spelling 2024-11-07T14:33:11.4164137 v2 67955 2024-10-10 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 f428211d8324336eb2bc7f4e6a08a421 0000-0002-5841-8309 Sharon Parsons Sharon Parsons true false b461d28811c42834432043df40f3ca03 0000-0001-6982-4479 Liv Kosnes Liv Kosnes true false 128cdedfba6e5e6374fdc85d5c78c428 Pippa Anderson Pippa Anderson true false 10b1bd08dbad1f2681ff1e527af9f9a3 0000-0001-7724-6621 Shaun Harris Shaun Harris true false e900d99a0977beccf607233b10c66b43 0000-0002-7286-8410 Deborah Fitzsimmons Deborah Fitzsimmons true false 01491e1cd582746a654fad9addf0de16 0000-0002-7206-6530 Steve Luzio Steve Luzio true false 2024-10-10 MEDS 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. Journal Article BMC Public Health 24 1 Springer Science and Business Media LLC 1471-2458 Type 2 diabetes prevention; Prediabetes; Prevention and control; Programme evaluation 13 9 2024 2024-09-13 10.1186/s12889-024-19946-0 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Other 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. 2024-11-07T14:33:11.4164137 2024-10-10T15:04:18.3294297 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Biomedical Science Sharon Parsons 0000-0002-5841-8309 1 Liv Kosnes 0000-0001-6982-4479 2 Pippa Anderson 3 Shaun Harris 0000-0001-7724-6621 4 Rhys Thatcher 5 Barbara Harrington 6 Jan Davies 7 Deborah Fitzsimmons 0000-0002-7286-8410 8 Steve Luzio 0000-0002-7206-6530 9 67955__32885__7de39ef75a6c44ca9ace94c3e6cc02b8.pdf 67955.VoR.pdf 2024-11-07T14:28:24.7734009 Output 1291556 application/pdf Version of Record true © The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title 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
spellingShingle 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
Liv Kosnes
Pippa Anderson
Shaun Harris
Deborah Fitzsimmons
Steve Luzio
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
author_id_str_mv f428211d8324336eb2bc7f4e6a08a421
b461d28811c42834432043df40f3ca03
128cdedfba6e5e6374fdc85d5c78c428
10b1bd08dbad1f2681ff1e527af9f9a3
e900d99a0977beccf607233b10c66b43
01491e1cd582746a654fad9addf0de16
author_id_fullname_str_mv f428211d8324336eb2bc7f4e6a08a421_***_Sharon Parsons
b461d28811c42834432043df40f3ca03_***_Liv Kosnes
128cdedfba6e5e6374fdc85d5c78c428_***_Pippa Anderson
10b1bd08dbad1f2681ff1e527af9f9a3_***_Shaun Harris
e900d99a0977beccf607233b10c66b43_***_Deborah Fitzsimmons
01491e1cd582746a654fad9addf0de16_***_Steve Luzio
author Sharon Parsons
Liv Kosnes
Pippa Anderson
Shaun Harris
Deborah Fitzsimmons
Steve Luzio
author2 Sharon Parsons
Liv Kosnes
Pippa Anderson
Shaun Harris
Rhys Thatcher
Barbara Harrington
Jan Davies
Deborah Fitzsimmons
Steve Luzio
format Journal article
container_title BMC Public Health
container_volume 24
container_issue 1
publishDate 2024
institution Swansea University
issn 1471-2458
doi_str_mv 10.1186/s12889-024-19946-0
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Biomedical Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Biomedical Science
document_store_str 0
active_str 0
description 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.
published_date 2024-09-13T05:39:57Z
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