About this trial
The goal of this clinical trial is to explore the effectiveness and implementation outcomes of the optimized Intensive Diabetes Prevention Program (IDPP) in District Health Centres. The main questions it aims to answer are:
* Do the implementation strategies - patient engagement system, structured training, and reminder systems - work better than usual approaches in terms of acceptability, adoption, appropriateness, feasibility, sustainability, and implementation cost? * Do patient health outcomes - HbA1c levels, BMI, lipid profile, quality of life, perception of empowerment, and health service utilization - stay the same or get better when these improved strategies are used compared to usual approaches?
Eligibility criteria
Qualifiers
Being 18 years of age or above
Having a baseline HbA1c within the prediabetes range (6.0%-6.4%)
Holding a scheduled appointment at a DHC
Disqualifiers
Having a diagnosis of diabetes mellitus
Currently using of oral hypoglycaemic agents or medications known to induce significant weight changes
Having medical conditions that would limit participation, such as active cancer or cognitive impairment
Trial design
Treatments tested in this trial
- Standard IDPP
- Optimized IDPP