The Community-based Prevention of Diabetes (ComPoD) trial and service evaluation of the Living Well, Taking Control programme

Smith, Jane R; Greaves, Colin; Jones, Matthew; Kok, Michele; Thompson, Janice L; Armstrong, Rosy; Coleman, Sarah; Solomon-Moore, Emma; Walsh, Alexis; Sewell, Leon; Keable, Jaine; Turton, Sue; Taylor, Rod; Abraham, Charles

Abstract

Aims: To assess whether an existing community-based diabetes prevention programme delivered by voluntary sector providers is effective in modifying diabetes risk factors in adults with “pre-diabetes”.

Background: Type 2 diabetes is a growing public health challenge. NICE guidance recommends diabetes prevention in people at high risk via intensive lifestyle interventions promoting weight loss through diet and physical activity. However, there are few robustly evaluated ‘real-world’ diabetes prevention programmes in the UK.

Methods: ComPoD (www.isrctn.com/ISRCTN70221670) is a randomised, waiting list controlled trial of the LWTC programme conducted across two sites (Devon, West Midlands). Adults with pre-diabetes referred by GPs were randomised to receive LWTC immediately (intervention) or after 6 months (control). The trial supplements a wider parallel before-after service and process evaluation involving all LWTC programme participants. In line with guidance, LWTC comprises 4-6 weekly group sessions followed by regular support contacts and attendance at 5+ additional classes up to 12 months. Changes from baseline to 6 months in objective measures of weight, blood glucose and physical activity, and self-reported diet, health status and psychological well-being were assessed.

Results: Trial recruitment (n=314) was completed in June 2015, with 43% of participants male, a mean (SD) age of 61 (9.87) years, weight of 87.28 (15.14) kg and BMI of 31.83 (4.54) kg/m2. Amongst 191 overweight LWTC participants providing 6-month follow up data for the before-after evaluation by July 2015, there were significant positive changes in weight (1.77kg loss), blood glucose (1.85mmol reduction), healthy eating and depression (all p

• Presentation Conference Type: Other
• Conference Name: South West Public Health Scientific Conference 2016
• Start Date: Mar 16, 2016
• End Date: Mar 16, 2016
• Acceptance Date: Mar 2, 2016
• Publication Date: Jan 1, 2016
• Deposit Date: Apr 13, 2016
• Publicly Available Date: Apr 13, 2016
• Peer Reviewed: Not Peer Reviewed
• Keywords: ComPoD, Living Well Taking Control, diabetes
• Public URL: https://uwe-repository.worktribe.com/output/923457
• Additional Information: Title of Conference or Conference Proceedings : South West Public Health Scientific Conference 2016
• Contract Date: Apr 13, 2016