The cost of intervention per participant delivered by dietitians was lower than interventions delivered by non-dietitians , although few studies reported costs .
Lifestyle interventions are effective in reducing body weight and glucose-related outcomes .
Dietitian-delivered interventions , compared with those delivered by other personnel , achieved greater weight reduction .
No consistent trend was identified across different delivery channels
BACKGROUND Type 2 diabetes is a significant public health concern .
With the completion of the Diabetes Prevention Program , there has been a proliferation of studies attempting to translate this evidence base into practice .
However , the cost , effectiveness , and cost-effectiveness of these adapted interventions is unknown .
OBJECTIVE The purpose of this systematic review was to conduct a comprehensive meta- analysis to synthesize the effectiveness , cost , and cost-effectiveness of lifestyle diabetes prevention interventions and compare effects by intervention delivery agent ( dietitian vs non-dietitian ) and channel ( in-person vs technology-delivered ) .
Preventing diabetes in primary care: a feasibility cluster randomized trial.
OBJECTIVE To determine the feasibility of implementing a large-scale primary care-based diabetes prevention trial . METHODS A feasibility cluster r and omized controlled trial was conducted in British Columbia , Canada , amongst adults with prediabetes using the Facilitated Lifestyle Intervention Prescription ( FLIP ) vs. usual care . FLIP included lifestyle advice , a pedometer , and telephone support from a lifestyle facilitator for 6 months . Indicators of feasibility included recruitment rates of family practice s , participants and facilitators , as well as feasibility and retention rates in the FLIP program and study protocol s. RESULTS Six family practice s participated ; 59 patients were enrolled between October 2012 and March 2013 . The trial protocol was acceptable to practice s and participants and had a 95 % participant retention rate over the 6 months ( 56/59 ) . Adherence to the intervention was high ( 97 % ) , with 34 of 35 patients continuing to receive telephone calls from the facilitator for 6 months . The mean cost of the intervention was C$ 144 per person . Compared with control , intervention participants significantly reduced weight by 3.2 kg ( 95 % CI , 1.7 to 4.6 ) ; body mass index by 1.2 ( 95 % CI , 0.7 to 1.7 ) and waist circumference by 3 cm ( 95 % CI , 0.3 to 5.7 ) . CONCLUSIONS It is feasible to implement FLIP and to conduct a trial to assess effectiveness . A larger trial with longer follow up to assess progression to diabetes is warranted
The cost of intervention per participant delivered by dietitians was lower than interventions delivered by non-dietitians , although few studies reported costs .
Lifestyle interventions are effective in reducing body weight and glucose-related outcomes .
Dietitian-delivered interventions , compared with those delivered by other personnel , achieved greater weight reduction .
No consistent trend was identified across different delivery channels
BACKGROUND Type 2 diabetes is a significant public health concern .
With the completion of the Diabetes Prevention Program , there has been a proliferation of studies attempting to translate this evidence base into practice .
However , the cost , effectiveness , and cost-effectiveness of these adapted interventions is unknown .
OBJECTIVE The purpose of this systematic review was to conduct a comprehensive meta- analysis to synthesize the effectiveness , cost , and cost-effectiveness of lifestyle diabetes prevention interventions and compare effects by intervention delivery agent ( dietitian vs non-dietitian ) and channel ( in-person vs technology-delivered ) .