Objectives To describe the experiences of patients with long-term conditions who are referred to and engage a Link Worker social prescribing programme identify impact on health well-being. Design Qualitative study using semistructured interviews thematic analysis data. Intervention comprising personalised support meaningful wellness goals, ongoing achieve agreed objectives linkage into appropriate community services. Setting Inner-city area in West Newcastle upon Tyne, UK (population n=132...

Diabetes prevalence is increasing. The Finnish Prevention Study (DPS) showed a 58% reduction in Type 2 (T2D) incidence adults with impaired glucose tolerance (IGT). European (EDIPS) extends the DPS to different populations, using same study design. In Newcastle arm of this (EDIPS-Newcastle), we tested hypothesis that T2D can be prevented by lifestyle intervention and explored secondary outcomes relation diabetes incidence.

Background Prevalence of type 2 diabetes (T2D) is increasing worldwide. T2D prevention by lifestyle intervention effective. Pragmatic scalable interventions are needed, with evidence to efficiently target and monitor such interventions. We report pooled analyses data from three European trial cohorts: analyse incidence, sustained weight loss utility risk predictors. Methods analysed on 749 adults impaired glucose tolerance (278 men 471 women, mean age 56 years, BMI 31 kgm−2) recruited...

Social prescribing enables health-care professionals to address non-medical causes of ill-health by harnessing the resources voluntary and community sectors in patient care. Although increasingly popular UK, evidence for effectiveness social is inconclusive longer-term studies are needed. This study aimed explore experiences among people with long-term conditions one two years after their initial engagement a service. Qualitative methods comprising semi-structured follow-up interviews were...

The European Diabetes Prevention Study (EDIPS) is an RCT of diet and exercise interventions in people with impaired glucose tolerance. We undertook a qualitative study, nested within the EDIPS Newcastle-upon-Tyne, UK, aiming to understand experience participants who maintained behaviour change, order inform future interventions. Participants were purposively sampled, according success criteria for physical activity change maintenance, invited attend individual semi-structured interviews....

Objectives Evaluation of the demonstrator phase and first wave roll-out National Health Service (NHS) Diabetes Prevention Programme (DPP) in England. To examine: (1) intervention design, provision fidelity assessment procedures; (2) risk recruitment pathways (3) data collection for monitoring evaluation. provide recommendations informing decision makers on programme quality, improvements future Design We reviewed documents, mapping against NHS DPP specification Institute Care Excellence...

For a social prescribing intervention to achieve its aims, clients must first be effectively engaged. A 'link worker' facilitating linkage between and community resources has been identified as vital component of prescribing. However, the mechanisms underpinning successful remain underspecified. This qualitative study is explore link workers' own definitions their role in skills qualities by workers themselves necessary for effective client linkage. also explores 'threats' linked challenges...

Advances in genomics science and associated bioinformatics technology mean that excellent tools are available for characterising human genotypes. At the same time, approaches individual phenotypes developing rapidly. In contrast, there has been much less investment novel methodology measuring dietary exposures so is now a significant gap toolkit those investigating how diet interacts with genotype to determine phenotype. This symposium reviewed strengths limitations of current used...

Objectives In a qualitative substudy, we sought to elicit participants’ perspectives of their behavioural change and maintenance new behaviours towards intervention optimisation. Setting The was delivered in leisure community settings local authority, which according the UK government statistics ranks as 1 10 most socioeconomically deprived areas England. Participants We recruited 218 adults aged 40–65 years at elevated risk type 2 diabetes (Finnish Diabetes Risk Score≥11) intervention....

Type 2 diabetes (T2D) is a debilitating disease, highly prevalent in UK South Asians, and preventable by lifestyle intervention. The 'New life, New you' (NLNY) physical activity (PA) dietary intervention for T2D prevention was culturally adapted to better engage minority ethnic populations tested feasibility.

Introduction Social prescribing enables healthcare professionals to use voluntary and community sector resources improve support for people with long-term conditions. It is widely promoted in the UK as a way address complex health, psychological social issues presented primary care, yet there insufficient evidence of effectiveness or value money. This study aims evaluate impact costs link-worker intervention on health adults aged 40–74 type 2 diabetes, living multi-ethnic area high...

Background Consumption of fruit and vegetables is important for health, but often lower than recommended tends to be socio-economically patterned with consumption in more deprived groups. In 2008, the English Department Health introduced Change4Life convenience store programme. This aimed increase retail access fresh deprived, urban areas by providing existing stores a range support branded point-of-sale materials equipment. Methods We undertook mixed-methods study programme North East...

The National Health Service diabetes prevention programme in England, (NHS DPP) aims to identify people at high risk of type 2 (T2D) and offer them a face-to-face, group-based, behaviour change intervention for least 9 months. NHS DPP was rolled out phases. We aimed elicit stakeholders' perceptions experiences the factors influencing implementation of, participation in, during development phase.Individual, semi-structured telephone interviews were conducted with 50 purposively sampled...

Lifestyle interventions can prevent type 2 diabetes (T2D) in adults with impaired glucose tolerance. In a mixed methods pilot study, we aimed to assess the feasibility, acceptability and outcomes at 12-month follow-up of behavioural intervention for risk T2D.Adults aged 45-65 years Finnish Diabetes Risk Score (FINDRISC) ≥11.The was delivered leisure community settings local authority that ranks 10 most socioeconomically deprived England.A 10-week supported programme promote increased...

To explore the feasibility of working with a wholesale supplier to co-design and deliver, assess acceptability of, an intervention promote smaller portions in Fish & Chip shops.Uncontrolled before-and-after study.Fish shops northern England, 2016.Owners (n=11), manager customers (n=46) shops; deliverers (n=3).Supplier-led, three-hour engagement event shop owners managers, highlighting problem excessive portion sizes potential ways reduce sizes; provision box packaging serve portions;...

Much of the food available from takeaways, pubs and restaurants particularly that sold by independent outlets, is unhealthy its consumption increasing. These outlets are therefore important potential targets for interventions to improve diet thus prevent related chronic diseases. Local authorities in England have been charged with delivering increase provision healthy choices but prior research shows few such rigorously developed or evaluated. We aimed learn experiences professionals...

Objectives To determine if the amount of salt delivered by standard shakers commonly used in English independent takeaways varies between those with five and 17 holes; to any differences are robust variations in: shaker, length time spent shaking, person serving. Design Four laboratory experiments comparing shakers. Independent variables considered were: type shaker (five or holes), before shaking commences (shaker full, half full nearly empty), (3s, 5s 10s), individual Setting Controlled,...

We report the development and early outcomes of an innovative intervention, directed to people at risk type 2 diabetes, delivered by fitness trainers in leisure community settings Middlesbrough, UK. Men women aged 45 65, living socio-economically disadvantaged areas were assessed for diabetes recruited intervention. Weight, height, waist circumference physical activity measured baseline six months. A social marketing campaign attracted 217 recruits. Baseline means (standard deviation; SD) as...

Community based providers are well place to deliver behavioural interventions improve health. Good project management and reliable outcome data needed efficiently evaluate such interventions, Management information systems (MIS) can facilitate these processes. We explored stakeholders perspectives on the use of MIS in community interventions. Stakeholders, purposively selected provide a range experience delivery health (public commissioners, intervention service managers, officers,...

The prevalence of diabetes mellitus is increasing especially in low- and middle-income countries which 75% the world's diabetic population reside. macro- microvascular complications such as retinopathy are also set to increase these populations.The relationship between depression glycaemic control has been established high-income countries, but evidence from scarce. This research aimed determine an association record a Cameroon.Analysis cross-sectional data 'Improving access HbA1c...

Abstract Objective: To evaluate the feasibility and acceptability of Takeaway Masterclass, a three-hour training session delivered to staff independent takeaway food outlets that promoted healthy cooking practices menu options. Design: A mixed-methods study design. All participating provided progress feedback at 6 weeks post-intervention. Baseline 6-week post-intervention observational self-reported data were collected in half outlets. Setting: North East England. Participants: Independent...

The National Health Service (NHS) in England planned a national diabetes prevention programme (NHS DPP) with phased implementation. Evidence-based guidelines and service specifications support efficient effective translation of research into practice. We aimed to evaluate the use structured mapping exercise appraise how evidence, specification early phase practice could inform recommendations guide subsequent implementation NHS DPP.The facilitated comparison appraisal key components from...