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5. Process evaluation of a primary care‐based type 2 diabetes remission project in the North East of England.

Author

Boocock, Ruth C., Moore, Helen J., Lake, Amelia A., and Haste, Anna

Subjects
EVALUATION of human services programs, PATIENT decision making, RESEARCH methodology, ATTITUDE (Psychology), CHANGE, INTERVIEWING, TYPE 2 diabetes, PRIMARY health care, CONCEPTUAL structures, INTERPROFESSIONAL relations, WEIGHT loss, DESCRIPTIVE statistics, THEMATIC analysis, JUDGMENT sampling, COVID-19 pandemic, DISEASE remission
Abstract

A type 2 diabetes remission project, Remission in Diabetes (REMI.D), funded by Sport England, was developed by stakeholders based in the North East of England and begun in early 2020. This local delivery pilot sought to tackle health inequalities by working with multiple organisations to demonstrate a way of scaling up an effective type 2 diabetes remission strategy which included both physical activity and dietary components. The intended delivery of the original project was impacted by the COVID‐19 pandemic and changes were made to the project delivery in 2022. The aim of this process evaluation was to learn from the reactive decisions taken by stakeholders which altered the REMI.D project in response to the COVID‐19 pandemic. Twelve stakeholders (from local authorities, secondary care, universities, NHS England commissioning, Diabetes UK, Sport England, Everyone Active and Active Partnerships) involved in the design and delivery of the intervention took part in a semi‐structured interview lasting up to 60 min. Interviews were recorded and transcribed verbatim. Thematic analysis used the pre‐determined 'core content' themes from the Medical Research Council and National Institute for Health Research framework for developing and evaluating complex interventions. Three topics for discussion emerged as follows: (a) lack of effective collaboration, (b) perception of change and (c) scalability of the intervention. Hierarchy within the stakeholder group initially hampered collaboration. Change was reactive as a result of the COVID‐19 pandemic. Project changes reduced project sustainability and scalability but offered valuable learning about the need for explicit project theory for partnership working, co‐production with service users and project flexibility for long‐term health behaviour change. [ABSTRACT FROM AUTHOR]

Published
2024
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12. The effectiveness of e-health interventions for the treatment of overweight or obesity in children and adolescents:A systematic review and meta-analysis

Author

Azevedo, Liane B., Stephenson, John, Ells, Louisa, Adu-Ntiamoah, Shirley, DeSmet, Ann, Giles, Emma L., Haste, Anna, O'Malley, Claire, Jones, Daniel, Chai, Li Kheng, Burrows, Tracy, Collins, Clare E., van Grieken, Amy, Hudson, Michelle, Azevedo, Liane B., Stephenson, John, Ells, Louisa, Adu-Ntiamoah, Shirley, DeSmet, Ann, Giles, Emma L., Haste, Anna, O'Malley, Claire, Jones, Daniel, Chai, Li Kheng, Burrows, Tracy, Collins, Clare E., van Grieken, Amy, and Hudson, Michelle

Abstract

The aim of this systematic review and meta-analysis was to examine the effectiveness of e-health interventions for the treatment of children and adolescents with overweight or obesity. Databases were searched up to November 2020. Studies were randomized controlled trials where interventions were delivered via e-health (e.g., computers, tablets, and smartphones, but not phone calls). Studies should target the treatment of overweight or obesity in children or their agent of changes and report body mass index (BMI) or BMI z-score. A meta-analysis using a random-effects model was conducted. Nineteen studies met the inclusion criteria, and 60% were of high quality. The narrative review revealed variation in behavior change strategies and modes of delivery. The pooled mean reduction in BMI or BMI z-score showed evidence for a nonzero effect (standardized mean difference = −0.31, 95% confidence interval −0.49 to −0.13), with moderately high heterogeneity between studies (I2 = 74%, p < 0.001). Subgroup analysis revealed high heterogeneity in studies with a high or unclear risk of bias. E-health interventions can be effective in treating children and adolescents with overweight and obesity and should be considered by practitioners and policymakers. However, an understanding of the most effective and acceptable intervention components, long-term benefits, and sustainability should be further studied.

Published
2022

15. The effectiveness of e‐health interventions for the treatment of overweight or obesity in children and adolescents: A systematic review and meta‐analysis

Author

Azevedo, Liane B., primary, Stephenson, John, additional, Ells, Louisa, additional, Adu‐Ntiamoah, Shirley, additional, DeSmet, Ann, additional, Giles, Emma L., additional, Haste, Anna, additional, O'Malley, Claire, additional, Jones, Daniel, additional, Chai, Li Kheng, additional, Burrows, Tracy, additional, Collins, Clare E., additional, Grieken, Amy, additional, and Hudson, Michelle, additional

Published
2021
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18. The effectiveness of e-health interventions for the treatment of overweight or obesity in children and adolescents: a systematic review and meta-analysis

Author

Azevedo, Liane B, Stephenson, John, Ells, Louisa, DeSmet, Ann, O’Malley, Claire, Li, Kheng Chai, Burrows, Tracy, Collins, Clare E, Giles, Emma L, Van Grieken, Amy, Jones, Daniel, Haste, Anna, Adu- Ntiamoah, Shirley, Hudson, Michelle, Azevedo, Liane B, Stephenson, John, Ells, Louisa, DeSmet, Ann, O’Malley, Claire, Li, Kheng Chai, Burrows, Tracy, Collins, Clare E, Giles, Emma L, Van Grieken, Amy, Jones, Daniel, Haste, Anna, Adu- Ntiamoah, Shirley, and Hudson, Michelle

Abstract

The aim of this systematic review and meta-analysis was to examine the effectiveness of e-health interventions for the treatment of children and adolescents with overweight or obesity. Databases were searched up to November 2020. Studies were randomized controlled trials where interventions were delivered via e-health (e.g. computers, tablets, and smartphones, but not phone calls). Studies should target the treatment of overweight or obesity in children or their agent of changes and report body mass index (BMI) or BMI z-score. A meta-analysis using a random-effects model was conducted. Nineteen studies met the inclusion criteria, and 60% were of high quality. The narrative review revealed variation in behavior change strategies and modes of delivery. The pooled mean reduction in BMI or BMI z-score showed evidence for a nonzero effect (standardized mean difference = −0.31, 95% confidence interval −0.49 to −0.13), with moderately high heterogeneity between studies (I2 = 74%, p < 0.001). Subgroup analysis revealed high heterogeneity in studies with a high or unclear risk of bias. E-health interventions can be effective in treating children and adolescents with overweight and obesity and should be considered by practitioners and policymakers. However, an understanding of the most effective and acceptable intervention components, long-term benefits, and sustainability should be further studied., SCOPUS: re.j, info:eu-repo/semantics/published

Published
2021

22. The effectiveness of e‐health interventions for the treatment of overweight or obesity in children and adolescents: A systematic review and meta‐analysis.

Author

Azevedo, Liane B., Stephenson, John, Ells, Louisa, Adu‐Ntiamoah, Shirley, DeSmet, Ann, Giles, Emma L., Haste, Anna, O'Malley, Claire, Jones, Daniel, Chai, Li Kheng, Burrows, Tracy, Collins, Clare E., van Grieken, Amy, and Hudson, Michelle

Subjects
OVERWEIGHT children, CHILDHOOD obesity, ADOLESCENT obesity, BODY mass index, TELEPHONE calls
Abstract

Summary: The aim of this systematic review and meta‐analysis was to examine the effectiveness of e‐health interventions for the treatment of children and adolescents with overweight or obesity. Databases were searched up to November 2020. Studies were randomized controlled trials where interventions were delivered via e‐health (e.g., computers, tablets, and smartphones, but not phone calls). Studies should target the treatment of overweight or obesity in children or their agent of changes and report body mass index (BMI) or BMI z‐score. A meta‐analysis using a random‐effects model was conducted. Nineteen studies met the inclusion criteria, and 60% were of high quality. The narrative review revealed variation in behavior change strategies and modes of delivery. The pooled mean reduction in BMI or BMI z‐score showed evidence for a nonzero effect (standardized mean difference = −0.31, 95% confidence interval −0.49 to −0.13), with moderately high heterogeneity between studies (I2 = 74%, p < 0.001). Subgroup analysis revealed high heterogeneity in studies with a high or unclear risk of bias. E‐health interventions can be effective in treating children and adolescents with overweight and obesity and should be considered by practitioners and policymakers. However, an understanding of the most effective and acceptable intervention components, long‐term benefits, and sustainability should be further studied. [ABSTRACT FROM AUTHOR]

Published
2022
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23. Additional file 1 of Stakeholders’ perceptions and experiences of the National Health Service diabetes prevention programme in England: qualitative study with service users, intervention providers and deliverers, commissioners and referrers

Author

Rodrigues, Angela M., Haste, Anna, Penn, Linda, Bell, Ruth, Summerbell, Carolyn, White, Martin, Adamson, Ashley J., and Sniehotta, Falko F.

Subjects
animal structures, health care economics and organizations
Abstract

Additional file 1. Summary of the NHS DPP demonstrator site interventions.

Published
2020
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27. NHS Diabetes Prevention Programme in England: formative evaluation of the programme in early phase implementation

Author

Penn, Linda, primary, Rodrigues, Angela, additional, Haste, Anna, additional, Marques, Marta M, additional, Budig, Kirsten, additional, Sainsbury, Kirby, additional, Bell, Ruth, additional, Araújo-Soares, Vera, additional, White, Martin, additional, Summerbell, Carolyn, additional, Goyder, Elizabeth, additional, Brennan, Alan, additional, Adamson, Ashley J, additional, and Sniehotta, Falko F, additional

Published
2018
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30. MOESM1 of Using evidence-based guidelines to inform service provision: a structured mapping exercise within the National Health Service Diabetes Prevention Programme in England

Author

Haste, Anna, Penn, Linda, Rodrigues, Angela, Marques, Marta, Budig, Kirsten, Bell, Ruth, Summerbell, Carolyn, White, Martin, Adamson, Ashley, and Sniehotta, Falko

Subjects
animal structures, education, health care economics and organizations, 3. Good health
Abstract

Additional file 1. Recommendations provided to the NHS DPP Management team and responses received from the NHS DPPManagement team.

31. Using evidence-based guidelines to inform service provision: a structured mapping exercise within the National Health Service Diabetes Prevention Programme in England

Author

Haste, Anna, Penn, Linda, Rodrigues, Angela M, Marques, Marta M, Budig, Kirsten, Bell, Ruth, Summerbell, Carolyn, White, Martin, Adamson, Ashley J, and Sniehotta, Falko F

Subjects
Practical implementation, England, National Health Programs, Structured mapping, Diabetes Mellitus, Humans, Evidence-based guidelines, Diabetes prevention, Exercise, 3. Good health
Abstract

OBJECTIVE: The National Health Service (NHS) in England planned a national diabetes prevention programme (NHS DPP) with phased implementation. Evidence-based guidelines and service specifications support efficient and effective translation of research into practice. We aimed to evaluate the use of a structured mapping exercise to appraise how evidence, service specification and early phase practice could inform recommendations to guide subsequent implementation of the NHS DPP. RESULTS: The mapping exercise facilitated comparison and appraisal of key components from different documentary sources (evidence-based NICE guidelines, service specification, and provider documents). Key components were categorised into (A) pathways into programmes, (B) intervention content (C) inequalities and (D) quality assurance and staff training. We identified where key components were the same (accordance), where they varied (discrepancies) and where they were lacking (discontinuities), across the documentary sources. For example there was discrepancy in intervention duration and discontinuity in intervention enrolment procedures. This mapping exercise was useful to compare the fidelity in translation of evidence-based guidance into service specification and programme documents, thus identifying where future service implementation might be improved. This method may be applicable for use with other health conditions where research evidence requires translation into real world population programmes.

32. Using evidence-based guidelines to inform service provision: a structured mapping exercise within the National Health Service Diabetes Prevention Programme in England

Author

Haste, Anna, Penn, Linda, Rodrigues, Angela M, Marques, Marta M, Budig, Kirsten, Bell, Ruth, Summerbell, Carolyn, White, Martin, Adamson, Ashley J, and Sniehotta, Falko F

Subjects
3. Good health
Abstract

Objective The National Health Service (NHS) in England planned a national diabetes prevention programme (NHS DPP) with phased implementation. Evidence-based guidelines and service specifications support efficient and effective translation of research into practice. We aimed to evaluate the use of a structured mapping exercise to appraise how evidence, service specification and early phase practice could inform recommendations to guide subsequent implementation of the NHS DPP. Results The mapping exercise facilitated comparison and appraisal of key components from different documentary sources (evidence-based NICE guidelines, service specification, and provider documents). Key components were categorised into (A) pathways into programmes, (B) intervention content (C) inequalities and (D) quality assurance and staff training. We identified where key components were the same (accordance), where they varied (discrepancies) and where they were lacking (discontinuities), across the documentary sources. For example there was discrepancy in intervention duration and discontinuity in intervention enrolment procedures. This mapping exercise was useful to compare the fidelity in translation of evidence-based guidance into service specification and programme documents, thus identifying where future service implementation might be improved. This method may be applicable for use with other health conditions where research evidence requires translation into real world population programmes.

33. MOESM1 of Using evidence-based guidelines to inform service provision: a structured mapping exercise within the National Health Service Diabetes Prevention Programme in England

Author

Haste, Anna, Penn, Linda, Rodrigues, Angela, Marques, Marta, Budig, Kirsten, Bell, Ruth, Summerbell, Carolyn, White, Martin, Adamson, Ashley, and Sniehotta, Falko

Subjects
animal structures, education, health care economics and organizations, 3. Good health
Abstract

Additional file 1. Recommendations provided to the NHS DPP Management team and responses received from the NHS DPPManagement team.

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