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Preventing diabetes in primary care: a feasibility cluster randomized trial
Diana Dawes1, Maureen Ashe2, Kristin Campbell3
1Department of Family Practice, The University of British Columbia, Vancouver, British Columbia, Canada.
Canadian Journal of Diabetes
|December 3, 2014
Summary
Implementing the Facilitated Lifestyle Intervention Prescription (FLIP) in primary care is feasible for diabetes prevention. This lifestyle intervention showed high adherence and retention, supporting larger trials.
Area of Science:
- Primary care research
- Public health interventions
- Chronic disease management
Background:
- Type 2 diabetes prevention is a public health priority.
- Primary care settings offer opportunities for scalable lifestyle interventions.
- Feasibility studies are crucial before large-scale trials.
Purpose of the Study:
- To assess the feasibility of a primary care-based diabetes prevention trial.
- To evaluate the implementation of the Facilitated Lifestyle Intervention Prescription (FLIP).
Main Methods:
- A cluster randomized controlled trial involving adults with prediabetes.
- Intervention group received FLIP (lifestyle advice, pedometer, telephone support) for 6 months.
- Feasibility assessed by recruitment, retention, adherence, and cost.
Main Results:
- Six family practices and 59 participants were recruited.
- High participant retention (95%) and intervention adherence (97%) were observed.
- Significant reductions in weight, BMI, and waist circumference were achieved.
Conclusions:
- The FLIP intervention is feasible for primary care implementation.
- A larger trial is warranted to assess long-term effectiveness in preventing diabetes progression.
Keywords:
behavioral changechangement de comportementdiabetes preventionintervention sur le mode de vielifestyle interventionprimary careprévention du diabètesoins de santé primairesMore Related Videos
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