Oldenburg Brian, Absetz Pilvikki, Dunbar James A, Reddy Prasuna, O'Neil Adrienne
Transl Behav Med. 2011 Jun;1(2):270-282. doi: 10.1007/s13142-011-0046-y. Epub 2011 Jun 1.
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.
2型糖尿病是世界上大多数国家面临的一个重大公共卫生问题。疗效试验表明，生活方式改变项目能够显著降低2型糖尿病的风险。两个关键挑战在于：[1] 开发对“现实世界”实施而言更可行的项目；[2] 将此类项目推广至全球范围，尤其是推广到糖尿病负担沉重的资源匮乏国家。本文描述了芬兰和澳大利亚此类“现实世界”项目的开发、实施与评估，两国之间的交流，以及此类项目更广泛的推广情况。借鉴这些相关案例研究的经验教训，我们讨论了通过更有效地采用生活方式改变项目及相关策略，来改善糖尿病预防项目在资源更为匮乏的国家和地区的“推广”情况所具有的意义。
