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Table 2 K-DPP implementation evaluation measures, data sources and their calculations

From: A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: implementation evaluation of the Kerala Diabetes Prevention Program

Evaluation measures

Description

Data sources

Collected by

Time points

Data analysis

Provider-level factors

 Penetration

Penetration into the target population

Recruitment records

Intervention team

At the beginning of the program

Numerator: # of individuals approached or invited to engage in the program

Denominator: # of individuals in the target population

 Implementation

Delivery of intervention components and adherence to intervention protocol

Peer-leader training evaluation questionnaire, attendance sheet and group session reports completed by peer leaders

Peer leaders; and/or intervention team (for attendance)

Training evaluation at the end of the training;

Attendance record during each session; and

Group session reports at the end of each session

Assessment of intervention components (peer leader training, group sessions, resource material and ongoing support) to ascertain their delivery as planned

 Adoption

Provider-level (setting-level) participation

Group session reports completed by peer leaders

Peer leaders

At the end of each session

Numerator: # of polling areas enrolled in the program

Denominator: total number of polling areas randomly selected for inclusion in the program, at the beginning of the program

 Facilitators and barriers

Provider-level facilitators and barriers

Group session reports completed by peer leaders

Peer leaders

At the end of each session

Assessment of facilitators and barriers to intervention delivery

Participant-level factors

 Reach

Proportion of eligible individuals enrolled in the program

Recruitment records

Intervention team

At the beginning of the program

Numerator: # of participants enrolled in the program

Denominator: # of eligible individuals

 Participation

Participants’ attendance in the program

Attendance sheet/recruitment records

Peer leaders and/or intervention team

During each session

Average attendance in 15 group-based sessions

Participants’ retention in the program

As needed

Numerator: # of participants who provided measurements at 12-months

Denominator: # of participants enrolled in the program

 Effectiveness

Effectiveness according to primary and secondary outcomes

Clinical measurements records

Intervention team

At baseline, 12 months and 24 months

Numerator: # of participants who developed diabetes at 24 months

Denominator: # of individuals who provided measurements at 24 months

Changes in clinical and behavioural characteristics from baseline to 12 and/or 24 months.

 Adoption

Participation in goal setting for behaviour change

Intervention participants evaluation questionnaire

Intervention participants

At 12 months

Numerator: # of participants who made change(s) to their lifestyle to meet their goals

Denominator: # of participants who set goals for behaviour change

Numerator: # of participants who were willing to adhere to the lifestyle change after the intervention

Denominator: # of participants who made lifestyle change(s)

Utilisation of diabetes education resource materials

Numerator: # of participants who utilised the diabetes education resource materials

Denominator: # of participants who received the diabetes education resource materials

Participants’ satisfaction with the program

Participants’ satisfaction with the peer-led groups based on a series of questions asked at the end of 12-months

 Evaluation of control participants

Evaluation of control participants at 12-months

Control participants evaluation questionnaire

Control participants

At 12 months

Participant’s use of health information booklet and behaviour changes made by participants over the duration of the intervention

 Facilitators and barriers

Participant-level facilitators and barriers

Intervention participants evaluation questionnaire

Intervention participants

At 12 months

Assessment of facilitators and barriers to participate in the program

Community-level factors

 Community activities

Participation in community activities outside group sessions

Intervention participants evaluation questionnaire

Intervention participants

At 12 months

Numerator: # of participants who took part in community activities

Denominator: # of participants enrolled in the program

 Community support

Frequency of additional contacts between peer leader and group member and among group members outside the group sessions

Intervention participants evaluation questionnaire

Intervention participants

At 12 months

Numerator: # of participants who contacted their peer leaders/group members outside the group sessions

Denominator: # of participants enrolled in the program

An average number of contacts made during the intervention.

Support received during the intervention period from sources other than K-DPP

Numerator: # of participants who received support from other community sources

Denominator: # of participants enrolled in the program

 Facilitators and barriers

Community-level facilitators and barriers to participation and/or intervention delivery

Ongoing interactions between peer leaders and the K-DPP intervention team including telephone calls and face-to-face meetings

Group session reports completed by peer leaders

Intervention team

Ongoing

Assessment of community-level facilitators and barriers