TY - BOOK
T1 - Formative Process and Value-Based Evaluation of the Wave 1 Roll-Out of the All Wales Diabetes Prevention Programme
AU - Thatcher, Rhys
PY - 2023/7/10
Y1 - 2023/7/10
N2 - Lay SummaryWhat is the All Wales Diabetes Prevention Programme?The All Wales Diabetes Prevention Programme (AWDPP) has been designed especially for people who are at risk of developing type 2 diabetes. This short programme offers a one to one conversation about lifestyle, especially changes in eating and physical activity level that might prevent or delay the onset of type 2 diabetes. Some people are then referred for further support to help with managing weight and increasing physical activity, and also to find out more about type 2 diabetes.What is this report about?The programme is new and we were asked by Public Health Wales to find out how well it was implemented and what lessons could be learned for future roll-out. To do this, we sought the views of service users, health care professionals and senior managers involved in the first phase of rolling out this programme across Wales. We used surveys, interviews, focus groups as well as observing some of the conversations and looking at available records and the documents used in planning and delivering the programme.What did we find out?• The practicalities of rolling out the programme (finding appropriate meeting space, recruiting and training staff, identifying at risk people to invite) took a lot more time and effort than expected and led to delays in the programme starting.• All staff expressed enthusiasm and support for the programme.• Service users valued having an appointment tailored to their individual needs and were willing to make changes in their lifestyle.• Many service users did not previously know they were at risk of developing type 2 diabetes.• Many people aged over 80 were felt to be clinically inappropriate for the programme.• People with higher body mass index (BMI) / weight were less likely to accept or attend the appointment offered.• Looking at who was referred for further support, we found:o People over 70 were less likely to be referred for further supporto Those living in the least deprived areas had most referralso More women than men were referred• Local availability of services and individual need or preferences could play a part in who was referred for additional support.Did the Health Boards deliver the agreed national programme?On the whole, yes.There were some differences in choosing who to invite to take part. These differences led to more people aged over 80 and, in some areas, those who are very overweight being excluded.What challenges need to be managed going forward?• Lack of Lead Dietitian time to support the programme• Having access to and knowing how to use GP computer systems• Staff turnover and grading of key posts• Relationships with GP practices• Lack of public and professional awareness of the programmeFurther information that could help improve the programme• It would be helpful to find out what difference service users feel the programme has made to their health and quality of life, and also• the reasons why some people did not take up the offer of the programme.
AB - Lay SummaryWhat is the All Wales Diabetes Prevention Programme?The All Wales Diabetes Prevention Programme (AWDPP) has been designed especially for people who are at risk of developing type 2 diabetes. This short programme offers a one to one conversation about lifestyle, especially changes in eating and physical activity level that might prevent or delay the onset of type 2 diabetes. Some people are then referred for further support to help with managing weight and increasing physical activity, and also to find out more about type 2 diabetes.What is this report about?The programme is new and we were asked by Public Health Wales to find out how well it was implemented and what lessons could be learned for future roll-out. To do this, we sought the views of service users, health care professionals and senior managers involved in the first phase of rolling out this programme across Wales. We used surveys, interviews, focus groups as well as observing some of the conversations and looking at available records and the documents used in planning and delivering the programme.What did we find out?• The practicalities of rolling out the programme (finding appropriate meeting space, recruiting and training staff, identifying at risk people to invite) took a lot more time and effort than expected and led to delays in the programme starting.• All staff expressed enthusiasm and support for the programme.• Service users valued having an appointment tailored to their individual needs and were willing to make changes in their lifestyle.• Many service users did not previously know they were at risk of developing type 2 diabetes.• Many people aged over 80 were felt to be clinically inappropriate for the programme.• People with higher body mass index (BMI) / weight were less likely to accept or attend the appointment offered.• Looking at who was referred for further support, we found:o People over 70 were less likely to be referred for further supporto Those living in the least deprived areas had most referralso More women than men were referred• Local availability of services and individual need or preferences could play a part in who was referred for additional support.Did the Health Boards deliver the agreed national programme?On the whole, yes.There were some differences in choosing who to invite to take part. These differences led to more people aged over 80 and, in some areas, those who are very overweight being excluded.What challenges need to be managed going forward?• Lack of Lead Dietitian time to support the programme• Having access to and knowing how to use GP computer systems• Staff turnover and grading of key posts• Relationships with GP practices• Lack of public and professional awareness of the programmeFurther information that could help improve the programme• It would be helpful to find out what difference service users feel the programme has made to their health and quality of life, and also• the reasons why some people did not take up the offer of the programme.
M3 - Commissioned report
BT - Formative Process and Value-Based Evaluation of the Wave 1 Roll-Out of the All Wales Diabetes Prevention Programme
ER -