Peer-led Diabetes Prevention Program for TASC in Melbourne
This presentation is the property of its rightful owner.
Sponsored Links
1 / 22

Peer-led Diabetes Prevention Program for TASC in Melbourne Nabil Sulaiman PowerPoint PPT Presentation


  • 54 Views
  • Uploaded on
  • Presentation posted in: General

Peer-led Diabetes Prevention Program for TASC in Melbourne Nabil Sulaiman “International Congress on CDSM, Melbourne Nov 2008”. Aims of Peer-led. Develop an evidence based, culturally appropriate peer-led diabetes prevention resources and program for TASC Trial the program

Download Presentation

Peer-led Diabetes Prevention Program for TASC in Melbourne Nabil Sulaiman

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Peer led diabetes prevention program for tasc in melbourne nabil sulaiman

Peer-led Diabetes Prevention Program for TASC in Melbourne

Nabil Sulaiman

“International Congress on CDSM, Melbourne Nov 2008”


Aims of peer led

Aims of Peer-led

  • Develop an evidence based, culturally appropriate peer-led diabetes prevention resources and program for TASC

  • Trial the program

  • Evaluate the program


Methodology how

Methodology- how?

Design:Pre and post intervention trial (action research methods)

  • Advisory Group

  • Peer- leaders

  • Diabetes prevention program

  • Participants

  • Evaluation


Methodology how1

Methodology- how?

  • 12 peer leaders recruited from TASC

  • Program was developed (food, exercise, group dynamics ..etc)

  • 2- full days training of leaders

  • Each leader engage 10 people


Program components

Program components

  • Principles of peer-led program

  • Role of diet, physical activity and stress

  • Group facilitation, engaging

  • Motivational techniques and chronic disease self-management

  • Leaders were paid for their training time, recruitment of participants and implementing the program.


Outcome indicators

Outcome Indicators

  • Changes in knowledge and attitudes

  • Changes in behaviours

  • Changes in body weight and waist circumference


Data collection

Data collection

  • Questionnaire and interviews:knowledge, attitudes and behaviour

    "Three-day Food Diary" and physical activity”

  • Weight, waist circumference were measured

  • Pedometer to act as incentive for walking


Results n 94

RESULTS (N= 94)

  • Gender: females (73%)

  • Age: 47% (40-45 y) and 25% (>55 y )

  • COB:

    • Turkey (45%)

    • Iraq (39%)

    • Lebanon (12%)

  • Obesity: 50% (BMI=30+)


Knowledge of risk of diabetes

Knowledge of risk of diabetes?

  • 54.8% said yes post intervention compared to 29.8% pre-intervention (p=.069).


Peer led diabetes prevention program for tasc in melbourne nabil sulaiman

80

72.3

71.3

68.1

70

64.9

60.6

59.6

58.5

56.4

60

54.3

51.1

48.9

48.9

50

45.7

40.4

38.3

PRE

%

40

POST

28.7

30

20

11.8

8.5

10

0

Other

Stress

Smoking

Fast Food

Overweight

Cholesterol

Little Exercise

Family member

Blood pressure

Why do you think you are at risk factors of DM?


Peer led diabetes prevention program for tasc in melbourne nabil sulaiman

79.6

80

60.9

70

60

50

39.1

40

%

No

Yes

20.4

30

20

10

0

PRE

POST

39.1

20.4

No

60.9

79.6

Yes

Have you done anything to lower risk during last 3 months

(P<0.001)


Lifestyle changes after program

Lifestyle changes after program

  • 89% in food preparation

  • 79% dietary intake

  • 82% shopping

  • 81% feeling of well being

  • 79% physical activity

  • 69% body weight


Mean walking time last week pre and post intervention

Mean walking time last week pre and post intervention


Weight and waist

WeightandWaist

  • Weight (kg): significant reduction in weight [mean weight pre=78.1, post=77.3; Z score=-3.415 (P=0.001)

  • Waist circumference (cm):

    mean pre=99.5cm, post =96.5

    Z=-2.569 (P=0.010)


Effectiveness of the program using 10 points scale

Effectiveness of the program using 10-points scale

  • 68% gave 9 or 10 points

  • 18% gave 7 or 8 points

  • 2% gave 5 points (undecided)

  • 2% gave 3 or 4 points


What are the main reasons for not taking any actions to lower your risks

What are the main reasons for not taking any actions to lower your risks?


What did you like

What did you like?

  • 77% appreciated the information

  • 69% the skills learned

  • 63% the support provided

  • 95% learned healthy eating skills

  • 70% maintaining healthy weight

  • 75% how to loose weight

  • 73% value regular exercise

  • 48% information access and

  • 42% attitudinal change


Source of diabetes knowledge

Source of diabetes knowledge

  • Doctors (92%)

  • Television (70%)

  • Friends (54%)

  • Nurses (35%)

  • Brochures (35%)

  • Family (36%)

  • Internet (29%)

  • Ethnic media (29%).


Peer led diabetes prevention program for tasc in melbourne nabil sulaiman

  • Comparison with other studies


Meta analysis of 11 rcts in cald

Meta-analysis of 11 RCTs in CALD:

Improved HbA1c 3m after intervention

Weight Mean Difference -0.3% at 3m and 0.6% at 6m

Knowledge scores improved at 3m

Healthy life style improvement at 3m

Hawthorne K, Robles Y, Cannings-John R, Edwards S. Culturally appropriate health education for type 2 diabetes in ethnic minority groups. Cochrane Database of Systematic Revies 2008 (3)


Conclusions

Conclusions

  • Limited intervention

  • Administered by trained peers equipped with culturally appropriate education

  • Native language

  • Significant improvement in:

    • knowledge and attitudes

    • limited changes in lifestyle behaviour

    • The changes were maintained three months after the intervention.


Conclusions1

Conclusions

  • The peer-led DPP was effective in improving knowledge and changeing behaviour

  • The program could be replicated in other CALD


  • Login