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 ) .
Change of body weight and lifestyle of persons at risk for diabetes after screening and counselling in pharmacies
Objective To investigate the effects of pharmacy based counselling on changes in lifestyle and body weight . Methods Three months after screening a stratified sample of 3,800 r and omly chosen overweight persons were addressed with question naires . Half a year and 1 year later the assessment was repeated . St and ard counselling ( SC ; non-specific recommendations towards lifestyle ) , intensive counselling ( IC ; additional advice to reduce body weight ) and counselling for persons at high risk for type 2 diabetes ( HRC ; recommendation to contact a physician ) were compared . Results All counselling groups ( SC ; n = 557 , IC ; n = 568 , HRC ; n = 245 ) showed significant weight loss three months after screening ( 0.6–1.9 kg ) . A further weight reduction was observed at 1 year follow up ( 1.1–2.4 kg ) . The HRC group showed a higher percentage of weight loss than the IC or SC group after 3 months ( −2.25 % vs. −1.20 % and −0.67 % ; P < 0.001 ) and at 1 year of follow-up ( −2.74 % vs. −1.54 % and −1.29 % ; P < 0.01 ) . Lifestyle changes in physical activity and /or nutrition were reported by 81.2 % in the HRC group , 74.1 % in the IC group and 67.0 % in the SC group . Conclusion Immediate counselling in community pharmacies after screening for type 2 diabetes can result in significant lifestyle changes and weight loss in overweight individuals
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 ) .