Peer-ledDiabetesPreventionProgramforTASCinMelbourne.pptVIP

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 Evaluate the program Methodology- how? Design: Pre and post intervention trial (action research methods) Advisory Group Peer- leaders Diabetes prevention program Participants Evaluation 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 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 Changes in knowledge and attitudes Changes in behaviours Changes in body weight and waist circumference 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) 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? 54.8% said yes post intervention compared to 29.8% pre-intervention (p=.069). Why do you think you are at risk factors of DM? 59.6 58.5 38.3 45.7 54.3 40.4 56.4 28.7 8.5 72.3 71.3 48.9 64.9 60.6 48.9 68.1 51.1 11.8 0 10 20 30 40 50 60 70 80 Overweight Family member Blood pressure Cholesterol Little Exercise Fast Food Stress Smoking Other % PRE POST 39.1 60.9 20.4 79.6 0 10 20 30 40 50 60 70 80 % No Yes No 39.1 20.4 Yes 60.9 79.6 PRE POST Have you done anything to lower risk during last 3 months (P0.001) Lifestyle changes after