Pilot feasibility study of the Walking Away from Diabetes programme for adults with intellectual disabilities in two further education colleges: Process evaluation findings

J Appl Res Intellect Disabil. 2019 Sep;32(5):1034-1046. doi: 10.1111/jar.12593. Epub 2019 Apr 2.

Abstract

Background: People with intellectual disabilities remain at high risk of developing type 2 diabetes (T2D) due to lifestyle-associated risk factors. Educational programmes have been adapted for people with intellectual disabilities targeting ongoing T2D self-management. However, there are no adapted programmes which aim to prevent T2D through reducing risk factors. The present study initiates addressing this gap.

Methods: Further education (FE) colleges in Scotland were recruited for feasibility study using the Walking Away (WA) from Diabetes programme. Process evaluation assessed recruitment, retention, baseline physical activity levels, and acceptability and accessibility using focus groups.

Results: Ninety six percent of invited students agreed to participate. WA was positively received, and some short-term impact was described. Suggestions for further adaptations regarding materials, delivery and content were provided, including delivery embedded within FE college curriculum.

Conclusions: Recruitment, retention and acceptability provide rationale for further research on T2D prevention in FE colleges.

Keywords: FE Colleges; intellectual disabilities; prevention; structured education; type 2 diabetes.

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Education, Professional
  • Feasibility Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Intellectual Disability*
  • Male
  • Patient Education as Topic / methods*
  • Pilot Projects
  • Program Evaluation
  • Risk Reduction Behavior*
  • Scotland
  • Students
  • Young Adult