Figure 1
Wollondilly Shrine in New South Wales, Australia and the nearest Local Health District hospitals in adjoining suburbs.
Figure 2
Illustrates the Wollondilly Diabetes Programme clinical management services provided as part of the programme.
Figure 3
The Wollondilly Diabetes Programme prevention and peer support services.
Table 1
The Wollondilly Diabetes Programme recruitment approaches.
| Recruitment approaches | |
|---|---|
| General Practices | The general practitioners were encouraged to refer patients to the Wollondilly Diabetes Programme group education sessions and peer support programme. |
| Wollondilly-wide flyer distribution | The Wollondilly Diabetes Programme flyers were placed at various locations across Wollondilly including medical centres, community centres, food outlets, schools, private business/religious places and leisure centres. |
| Community engagement at community groups | The Wollondilly Diabetes Programme was promoted at regular and one-off events organised by the Wollondilly council, New South Wales Health. Examples of community groups included: Men’s shed, community vegetable gardens, community pantry. Existing Wollondilly Diabetes Programme participants were offered the opportunity to be part of the peer support programme, when they were consulted by either Dietitian or Credentialed Diabetes Educator for individual consults and when attended group education |
| Social Media- Newspapers/Radio | The Wollondilly Diabetes Programme team approached local newspapers, radio stations, magazines and Public School Newsletters, to advertise the Wollondilly Diabetes Programme. |
| Social Media-online | A Wollondilly Diabetes Programme Facebook page was created and Wollondilly-associated Facebook community and council pages were sent a request, to post the Wollondilly Diabetes Programme |
| Word of mouth | The entire Wollondilly Diabetes Programme team encouraged existing interested participants to let their network of friends, family, colleagues know about the Wollondilly Diabetes Programme, and encourage their network to contact the Wollondilly Diabetes Programme over the phone, in-person or via email for participation or more information. |
| Door to door survey | Door knocking is being undertaken across Wollondilly and commenced in February 2017. Flyers are distributed while conducting surveys. So far 5418 flyers have been distributed. |
| The Wollondilly Diabetes Programme road show | The aim of this strategy is to invite patients for screening at one centralised location. The Wollondilly Diabetes Programme road show consisted of the Wollondilly Diabetes Programme team- the endocrinologist, dietitian and credentialed diabetes educator, non-clinical staff and the Wollondilly Diabetes Programme Peer Support Facilitators (already trained) to encourage the attendees to join as peer support facilitators or as peers. |
| Promotion via peer support facilitators | Residents (peers) with and at-risk of diabetes are encouraged by their fellow community members (peer support facilitators), to join the programme |
Table 2
Illustrates the data sources.
| Source | Data (n) |
|---|---|
| Wollondilly Diabetes Programme (weekly) meeting | 93 meeting minutes |
| Clinician Reference Group meeting (held bi-monthly) | 2 meeting notes (17 meetings) * |
| Individual reports from Wollondilly Diabetes Programme clinical and non-clinical staff. | 6 |
| Ethnographic approach | Observation at weekly meetings and activities/events when organised and held. |
[i] * Notes were taken in only two Clinician Reference Group meetings.
Table 3
Attendance & uptake data.
| Attendance data | |||
|---|---|---|---|
| Variable | Key questions | Measure | Resource |
| Wollondilly Diabetes Programme-Organisational support | Number of health promotion working group meetings attended by the Wollondilly Diabetes Programme team. Number of clinicians attending vs invited to clinician reference group meeting. Number of general practices completing vs invited for AusCDEP modules for continued professional development. | Health promotion working group meetings- 7/7. Number of clinicians invited vs attending- 12/38. Number of general practices invited vs completing AusCDEP- 1/11 | By 1–2 staff routinely (Health promotion and administration staff) |
| Wollondilly Diabetes Programme-Clinical support | Number of general practices participating in the case-conference. Number of patients (>18 years) attending multidisciplinary clinic (appointments attended) vs number of appointments booked for each service until December 2018. | General practices participating -3/11 Diabetes Educator- 123/157 Endocrinologist- 56/88 Diabetes group education-113/197 Dietitian- 162/214 Podiatry screening (until June 2017)- 41/47 | By 1–2 staff routinely (Health promotion and administration staff) |
| Wollondilly Diabetes Programme-Peer support | Number of participants completed the peer support facilitators training workshop. Number of peers participating in the Wollondilly. | Participants completed the peer support facilitators training workshop – 5 Peers- 25 | By 1–2 staff routinely(Health promotion and administration staff) |
| Wollondilly Diabetes Programme-Health Promotion | Number of Wollondilly Diabetes Programme interactions at promotion at various health promotion community activities ongoing/one-off in Wollondilly. | Number of interactions is 1280 (from November 2016-December 2018) | By 1–2 staff/students routinely(Health promotion and administration staff) |
| Door to door survey and data collection | People agreed to complete the diabetes record questionnaire The number of door to door surveys completed in total. | Diabetes record questionnaire-37/250 (14.8%). 619/4418 (14%) for 1968 residents have been surveyed until October 2018. | By 1–2 staff/students routinely (Health promotion and administration staff) |