A large-scale diabetes prevention program in real-life settings in Qingdao of China (2006-2012).
OBJECTIVE
Qingdao Diabetes Prevention Program aims to translate the trial experience to real-life settings with goals to: (1) raise the public awareness of diabetes and diabetes risk factors, and promote healthy diet and physical activity; (2) reduce the number of high-risk people developing diabetes through lifestyle counselling; (3) early diagnosis of diabetes; (4) evaluate the effectiveness, cost-effectiveness, feasibility, acceptability and sustainability of the programs.


METHODS
The project's first phase (2006-2009) was focused on health promotion targeting at the entire population of 1.94 million, and training of professionals; and the second phase (2009-2012) on lifestyle counselling targeting at individuals with a diabetes risk score of >or=14. The effectiveness of the intervention and the cost-effectiveness of the program between the intervention arm (n=8000) and the control arm (n=4000) who are randomly selected from the project targeting and not-targeting areas will be evaluated with the diabetes incidence as the primary outcome. Milestone achieved from 2006 to 2009: 3993 health professionals finished training courses; 724,130 educational booklets were distributed to families and 318,284 high-risk individuals recorded and 130,164 underwent at least one follow-up counselling session.
Qiao
Qing
Q
Department of Public Health, University of Helsinki, Helsinki, Finland. qing.qiao@ktl.fi
Pang
Zengchang
Z
Gao
Weiguo
W
Wang
Shaojie
S
Dong
Yanghu
Y
Zhang
Lei
L
Nan
Hairong
H
Ren
Jie
J
D002681:China / Q000453:epidemiology; D003362:Cost-Benefit Analysis; D003376:Counseling / Q000191:economics / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000517:prevention & control*; D005240:Feasibility Studies; D006293:Health Promotion / Q000191:economics / Q000458:organization & administration*; D015994:Incidence; D008019:Life Style; D010174:Pamphlets; D010353:Patient Education as Topic / Q000191:economics / Q000458:organization & administration*; D012042:Registries; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D018401:Sample Size; D014505:Urban Population / Q000706:statistics & numerical data