Publications by authors named "Trish Freer"

Article Synopsis
  • This study focuses on understanding the outcomes of a 6-month dietary intervention for participants with pre-diabetes and excess weight, assessing who reverts to normal glucose levels, who remains pre-diabetic, and who develops type 2 diabetes (T2DM) after two years.
  • Four hundred participants from New Zealand will undergo a structured dietary program led by primary care nurses and will have their clinical data, lifestyle factors, and health-related quality of life measured over two years.
  • The study has received ethical approval and aims to share findings through participant presentations, peer-reviewed publications, and conferences to help inform future health strategies.
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Background: Primary care nurse-led prediabetes interventions are seldom reported. We examined the implementation and feasibility of a 6-month multilevel primary care nurse-led prediabetes lifestyle intervention compared with current practice in patients with prediabetes, with weight and glycated haemoglobin (HbA1c) as outcomes.

Methods: This study used a convergent mixed methods design involving a 6-month pragmatic non-randomised pilot study with a qualitative process evaluation, and was conducted in two neighbouring provincial cities in New Zealand, with indigenous Māori populations comprising 18.

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Aim: The New Zealand Ministry of Health's Before-School Check (B4SC) aims to identify those 4-year-old children with health, developmental or behavioural problems likely to impact on their education so these can be remediated before school entry. This evaluation aims to demonstrate the outcomes of the first 10 months of the B4SC programme in Hawke's Bay and the lessons learnt.

Methods: The B4SC was implemented in Hawke's Bay using an intersectoral, collaborative approach including all major stakeholders, led by the Hawke's Bay Primary Health Organisation (HBPHO).

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