Scaling up diabetes prevention in Victoria, Australia: policy development, implementation and evaluation

Dunbar, James, Jayawardena, Abirami, Johnson, Greg, Roger, Karen, Timoshanko, Amy, Versace, Vincent, Shill, Jane, Philpot, Benjamin, Vertianen, Erkki, Laatikainen, Tiina, Best, James and Janus, Edward 2014, Scaling up diabetes prevention in Victoria, Australia: policy development, implementation and evaluation, Diabetes Care, vol. 37, no. 4, pp. 934-942.

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Title Scaling up diabetes prevention in Victoria, Australia: policy development, implementation and evaluation
Author(s) Dunbar, James
Jayawardena, Abirami
Johnson, Greg
Roger, Karen
Timoshanko, Amy
Versace, Vincent
Shill, Jane
Philpot, Benjamin
Vertianen, Erkki
Laatikainen, Tiina
Best, James
Janus, Edward
Journal name Diabetes Care
Volume number 37
Issue number 4
Start page 934
End page 942
Total pages 9
Publisher American Diabetes Association
Place of publication Alexandria, Va.
Publication date 2014-04
ISSN 0149-5992
Keyword(s) Diabetes prevention
Victoria
Australia
Summary Objective
The Australian lifestyle intervention program Life! is only the second reported, large-scale diabetes prevention program. This paper describes the genesis and the successful establishment of Life! and its key outcomes for participants and implementation.

Research
Design and Methods Life!, a behavior change intervention, comprises six group sessions over eight months. The Victorian Department of Health funded Diabetes Australia-Victoria to implement the program. Experience of the Greater Green Triangle diabetes prevention implementation trial was used for intervention design, workforce development, training and infrastructure. Clinical and anthropometric data from participants, used for program evaluation, was recorded on a central database.

Results
Life! has a state-wide workforce of 302 trained facilitators within 137 organizations. 29,000 Victorians showed interest in Life! and 15,000 individuals have been referred to the program. In total, 8,412 participants commenced a Life! program between October 2007 and June 2011. 37% of the original participants completed the eight month program. Participants completing sessions one to five lost an average of 1·4 kg weight (p<0·001) and waist circumference of 2·5cm (p<0.001). Those completing six sessions lost an average of 2·4 kg weight (p<0·001) and waist circumference of 3·8 cm (p<0·001). The weight loss of 2.4 kg represents 2.7% of participants’ starting body weight.

Conclusion
The impact of Life! is attributable to applying available evidence for the systems design of the intervention, and collaboration between policy makers, implementers and evaluators using the principles of continuous quality improvement to support successful, large scale recruitment and implementation.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920104 Diabetes
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, American Diabetes Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30059501

Document type: Journal Article
Collection: School of Medicine
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