title: Piloting the CANRISK tool in Vancouver Coastal Health.
abstract: BACKGROUND
  Vancouver Coastal Health Authority's Healthy Living Program implemented this pilot study to test and validate the Canadian Diabetes Risk Assessment Questionnaire (CANRISK) developed by the Public Health Agency of Canada as a screening tool for undiagnosed type 2 diabetes mellitus (DM) and prediabetes. Key objectives were to test the feasibility and acceptability of screening urban ethnic groups using the CANRISK, increase awareness of risk factors for DM and preDM and develop resources for lifestyle change.
  
  
  METHODS
  The study recruited participants through community groups and churches, intraorganizational emails, primary care clinics and word of mouth. They completed the CANRISK and an oral glucose tolerance test (OGTT) either individually or as part of a group. Groups received a brief diabetes prevention information session. Documents to support lifestyle change were distributed to all participants.
  
  
  RESULTS
  Participants (n = 556) were recruited among East Asian, Caucasian, South Asian and Latin American ethnic groups. Of these, 17% had OGTT results in the preDM range and 3% in the DM range. Over 90% of participants reported that the CANRISK wording was clear and that they had received useful information about lowering their diabetes risk.
  
  
  CONCLUSIONS
  The benefit of using an OGTT was in identifying 11% of the sample of participants who had impaired glucose tolerance (IGT) and did not show abnormal fasting plasma glucose (FPG) results. All participants with abnormal laboratory results were provided with follow-up educational interventions in their own language.
authors.affiliation: Vancouver Coastal Health, Vancouver, British Columbia, Canada.
authors.forename: D
authors.initials: D
authors.lastname: Papineau
authors.forename: M
authors.initials: M
authors.lastname: Fong
mesh_terms: D000328:Adult; D000368:Aged; D044467:American Indian or Alaska Native; D044466:Asian People; D001291:Attitude of Health Personnel; D001955:British Columbia; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control*; D004032:Diet; D005260:Female; D005951:Glucose Tolerance Test; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D008019:Life Style / Q000208:ethnology; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009043:Motor Activity; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D010865:Pilot Projects; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D015431:Weight Loss; D044465:White People