Article

Translational Behavioral Medicine

, 1:270

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

The spread and uptake of diabetes prevention programs around the world: a case study from Finland and Australia

  • Brian OldenburgAffiliated withSchool of Public Health and Preventive Medicine, Monash University Email author 
  • , Pilvikki AbsetzAffiliated withNational Institute for Health and Welfare, Health Behaviour and Health Promotion Unit
  • , James A DunbarAffiliated withGreater Green Triangle University Department of Rural Health (GGT UDRH), Flinders & Deakin Universities Email author 
  • , Prasuna ReddyAffiliated withGreater Green Triangle University Department of Rural Health (GGT UDRH), Flinders & Deakin Universities
  • , Adrienne O’NeilAffiliated withSchool of Public Health and Preventive Medicine, Monash University

ABSTRACT

Type 2 diabetes is a major public health issue in most countries around the world. Efficacy trials have demonstrated that lifestyle modification programs can significantly reduce the risk of type 2 diabetes. Two key challenges are: [1] to develop programs that are more feasible for “real world” implementation and [2] to extend the global reach of such programs, particularly to resource-poor countries where the burden of diabetes is substantial. This paper describes the development, implementation, and evaluation of such “real world” programs in Finland and Australia, the exchange between the two countries, and the wider uptake of such programs. Drawing on the lessons from these linked case studies, we discuss the implications for improving the “spread” of diabetes prevention programs by more effective uptake of lifestyle change programs and related strategies for more resource-poor countries and settings.

Keywords

Diabetes Prevention Diffusion of innovations Lifestyle intervention System uptake Diabetes prevention programs