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National Health Service England is piloting a digital diabetes prevention programme (DDPP) to combat rising type 2 diabetes rates. This study evaluates its implementation and effectiveness in reducing HbA1c and weight among at-risk adults.

Keywords:
diabetes mellitusdigital divideeHealthhealth policyhealth promotioninternetprimary preventiontype 2

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Area of Science:

  • Public Health
  • Digital Health Interventions
  • Diabetes Prevention

Background:

  • Type 2 diabetes prevalence is increasing significantly.
  • National Health Service England (NHSE) is evaluating a digital diabetes prevention programme (DDPP).
  • A pilot program with embedded evaluation has been commissioned.

Purpose of the Study:

  • To determine if and how NHSE should implement a national DDPP.
  • To assess the effectiveness of digital interventions for diabetes prevention.
  • To understand the implementation processes of a DDPP.

Main Methods:

  • Mixed-methods pretest and post-test design across eight pilot areas in England.
  • Inclusion of adults with non-diabetic hyperglycaemia (NDH) and overweight/obese adults.
  • Utilized Coventry, Aberdeen and London - Refined (CALO-RE) taxonomy and Consolidated Framework for Implementation Research (CFIR).

Main Results:

  • Primary outcomes: reduction in HbA1c and weight at 12 months.
  • Secondary outcomes: intervention use, satisfaction, physical activity, patient activation, and implementation resources.
  • Quantitative and qualitative data analyzed to associate outcomes with demographic and intervention factors.

Conclusions:

  • The study provides evidence to inform NHSE's policy on national DDPP implementation.
  • Findings will guide the effective integration of digital health solutions in diabetes prevention.
  • Ethical approval obtained; results to be disseminated to NHSE and in peer-reviewed journals.