title: A primary care based healthy-eating and active living education session for weight reduction in the pre-diabetic population.
abstract: OBJECTIVE
  Many studies have demonstrated the effectiveness of primary prevention strategies in type 2 diabetes, however, questions remain around the feasibility of high resource, intensive interventions within a healthcare setting. We report the results of a dietitian-led pre-diabetes education session targeting healthy eating and active living as strategies for weight reduction.
  
  
  METHODS
  Participants were asked to complete a baseline questionnaire prior to completing the pre-diabetes education session and were sent follow-up questionnaires at 3 and 6 months. Differences between participants at baseline, 3 and 6 months were determined using χ(2), t-tests and ANOVA.
  
  
  RESULTS
  Of the 211 participants asked to fill out baseline questionnaires, 45 participants completed questionnaires at baseline, 3 months and 6 months. Although we observed general trends towards improvements in diet, physical activity and weight related behaviours among the 45 completers, no significant changes were observed among participants between questionnaire periods.
  
  
  CONCLUSIONS
  A "one-off", theory-guided group education session may be insufficient to support lifestyle modifications in the context of weight management in a pre-diabetic population. Further evaluation of the efficacy and feasibility of the PCN as a setting for lifestyle intervention is required.
authors.affiliation: School of Public Health, University of Alberta, Edmonton, Alberta, Canada. Electronic address: daniala@ualberta.ca.
authors.forename: Daniala L
authors.initials: DL
authors.lastname: Weir
authors.affiliation: Centre for Nursing and Health Studies, Athabasca University, Athabasca, Alberta, Canada. Electronic address: sjohnson@athabascau.ca.
authors.forename: Steven T
authors.initials: ST
authors.lastname: Johnson
authors.affiliation: Centre for Nursing and Health Studies, Athabasca University, Athabasca, Alberta, Canada. Electronic address: mundt@ualberta.ca.
authors.forename: Clark
authors.initials: C
authors.lastname: Mundt
authors.affiliation: St. Albert-Sturgeon Primary Care Network, Alberta, Canada. Electronic address: dianne.bray@stalbertsturgeonpcn.com.
authors.forename: Dianne
authors.initials: D
authors.lastname: Bray
authors.affiliation: Nutrition Services' Alberta Health Services, Alberta, Canada. Electronic address: lmtaylor@ualberta.ca.
authors.forename: Lorian
authors.initials: L
authors.lastname: Taylor
authors.affiliation: School of Public Health, University of Alberta, Edmonton, Alberta, Canada. Electronic address: deurich@ualberta.ca.
authors.forename: Dean T
authors.initials: DT
authors.lastname: Eurich
authors.affiliation: School of Public Health, University of Alberta, Edmonton, Alberta, Canada. Electronic address: jeff.johnson@ualberta.ca.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Johnson
mesh_terms: D000368:Aged; D000416:Alberta; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003695:Delivery of Health Care; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D004032:Diet / Q000009:adverse effects; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D006126:Group Processes; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D050177:Overweight / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D010353:Patient Education as Topic; D011236:Prediabetic State / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D011320:Primary Health Care; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012648:Self Care; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Diabetes; Diet; Dietitian; Health service research; Physical activity; Primary care