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.

Autor: Parsons SN; Diabetes Research Group, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK. S.N.Parsons@Swansea.ac.uk., Kosnes L; Swansea Centre for Health Economics, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK.; Department of Public Health, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK., Anderson P; Swansea Centre for Health Economics, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK.; Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK., Harris SR; Swansea Centre for Health Economics, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK., Thatcher R; Dept of Life Sciences, Aberystwyth University, Aberystwyth, UK., Harrington B; Diabetes Research Group Swansea Public Reference Panel, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK., Davies J; Diabetes Research Group Swansea Public Reference Panel, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK., Fitzsimmons D; Swansea Centre for Health Economics, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK., Luzio SD; Diabetes Research Group, Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Sep 13; Vol. 24 (1), pp. 2499. Date of Electronic Publication: 2024 Sep 13.
DOI: 10.1186/s12889-024-19946-0
Abstrakt: Background: The 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.
Methods: This 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.
Results: Service 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.
Conclusions: In 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.
(© 2024. The Author(s).)
Databáze: MEDLINE
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