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Programa Adaptado al Contexto para la Prevención de la Diabetes (Pequeños Pasos para Grandes Cambios) en Australia:

Genevieve N Healy1, Sjaan R Gomersall1,2, David W Dunstan3,4

  • 1Health and Wellbeing Centre for Research Innovation, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.

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Resumen

Este estudio evalúa el programa Pequeños Pasos para Grandes Cambios (SSBC), una intervención adaptada de dieta y ejercicio, para la prevención de la diabetes tipo 2 en Australia. Los hallazgos determinarán su efectividad y viabilidad de implementación en el contexto australiano.

Palabras clave:
comunidadadaptación culturalprevención de la diabetesdietaejercicioimplementaciónintervenciónentrevista motivacional

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Área de la Ciencia:

  • Salud Pública; Medicina Preventiva; Investigación de Servicios de Salud

Sus antecedentes:

  • Las tasas de diabetes tipo 2 están aumentando a nivel mundial y en Australia, lo que requiere programas de prevención eficaces.; El programa Pequeños Pasos para Grandes Cambios (SSBC) es una intervención desarrollada en Canadá y administrada en la comunidad para la prevención de la diabetes.; La idoneidad de SSBC en Australia es desconocida, lo que motiva el ensayo SSBC Australia.

Objetivo del estudio:

  • Describir el protocolo para un ensayo híbrido que evalúa la efectividad y la implementación de SSBC Australia.; Evaluar la viabilidad y aceptabilidad de adaptar y administrar SSBC en un contexto del sureste de Queensland, Australia.

Principales métodos:

  • Un ensayo híbrido de efectividad-implementación de 4 años, de clústeres no aleatorizados y de un solo brazo en 5 sitios comunitarios.; Reclutamiento de 500 participantes y formación de aproximadamente 50 coaches.; Recopilación de datos a través de encuestas, evaluaciones objetivas, entrevistas y auditorías de sitios, guiados por marcos de implementación (PRISM, RE-AIM) y criterios (ARECCI).

Principales resultados:

  • La aprobación ética y el registro del ensayo están completos.; Se han reclutado los 5 sitios del ensayo y se han sometido a una evaluación previa a la implementación.; La formación de los coaches de SSBC Australia está en curso, y el reclutamiento de clientes comenzará en septiembre de 2025.

Conclusiones:

  • El estudio proporcionará evidencia sobre la efectividad y la implementación del programa SSBC adaptado en Australia.; Los hallazgos informarán la posible expansión del programa de prevención de la diabetes a otros entornos comunitarios y de servicios de salud.