A qualitative evaluation of the national rollout of a diabetes prevention programme in England

BMC Health Services Research

Research Article

Paul Wilson¹  Lisa Brunton¹  Claudia Soiland-Reyes² 

[1] Division of Population Health, Health Services, Research and Primary Care, School of Health Sciences, The University of Manchester, Williamson Building, Oxford Road, M13 9PL, Manchester, UK;Medical Directorate, North West Ambulance Service NHS Trust, Ladybridge Hall, 399 Chorley New Rd, BL1 5DD, Bolton, UK;

关键词: Diabetes;    Prevention;    Implementation;    England;    COVID-19;    Qualitative Evaluation;   

DOI  :  10.1186/s12913-023-10002-y

 received in 2022-06-21, accepted in 2023-09-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe National Health Service Diabetes Prevention Programme (NHS DPP) was commissioned by NHS England in 2016 and rolled out in three ‘waves’ across the whole of England. It aims to help people with raised blood glucose levels reduce their risk of developing type 2 diabetes through behaviour change techniques (e.g., weight loss, dietary changes and exercise). An independent, longitudinal, mixed methods evaluation of the NHS DPP was undertaken. We report the findings from the implementation work package: a qualitative interview study with designated local leads, responsible for the local commissioning and implementation of the programme. The aim of the study was to explore how local implementation processes were enacted and adapted over time.MethodsWe conducted a telephone interview study across two time-points. Twenty-four semi-structured interviews with local leads across 19 sampled case sites were undertaken between October 2019 and January 2020 and 13 interviews with local leads across 13 sampled case sites were conducted between July 2020 and August 2020. Interviews aimed to reflect on the experience of implementation and explore how things changed over time.ResultsWe identified four overarching themes to show how implementation was locally enacted and adapted across the sampled case sites: 1. Adapting to provider change; 2. Identification and referral; 3. Enhancing uptake in underserved populations; and 4. Digital and remote service options.ConclusionThis paper reports how designated local leads, responsible for local implementation of the NHS DPP, adapted implementation efforts over the course of a changing national diabetes prevention programme, including how local leads adapted implementation during the COVID-19 pandemic. This paper highlights three main factors that influence implementation: the importance of facilitation, the ability (or not) to tailor interventions to local needs and the role of context in implementation.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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