The Kerala Diabetes Prevention Program (KDPP)


Project Details

The Kerala Diabetes Prevention Program (KDPP):  Evaluating a group diabetes prevention program for high risk individuals in Kerala, India

India currently has more than 60 million people with Type 2 Diabetes Mellitus (T2DM) and this is predicted to increase by nearly two-thirds by 2030. While management of those with T2DM is important, preventing or delaying the onset of the disease, especially in those individuals at ‘high risk’ of developing T2DM is urgently needed. The Kerala Diabetes Prevention Program (KDPP) is a cluster randomised controlled trial of a peer-led lifestyle intervention program to prevent diabetes in Kerala, India. A total of just over 1,000 individuals at high risk of developing diabetes were recruited to the study. Among other things, participants in the intervention arm of the clinical trial received: i) eleven peer-led small group sessions; ii) two expert-led diabetes prevention education sessions led by experts; and iii) a handbook and other printed materials. Follow-up assessments are conducted at 12 and 24 months. The primary outcome is incidence of T2DM. Secondary outcomes include behavioural, psychosocial, clinical, and biochemical measures. An economic evaluation is planned. Preliminary findings from the 12-month follow up indicate that KDPP was well implemented and that participants in the intervention arm have made positive lifestyle changes and are experiencing an improvement in key clinical outcomes.

KDPP - DMS Portal

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Professor Brian Oldenburg, Head of Unit
A/Prof Robyn Tapp
Dr Fabrizio D'Esposito


Professor Kavumpurathu Thankappan
Prof Paul Zimmet
Prof Bruce Hollingsworth
Prof Edwin Fisher
Prof Rory Wolfe


NHMRC Project Grant - $209,400

Research Publications

  • Oldenburg B, Absetz P, Dunbar JA, Reddy P, O’Neil A.  The spread and uptake of diabetes prevention programs around the world: a case study from Finland and Australia. Translational Behavioral Medicine 2011; 1(2): 270-282.
  • Daivadanam M, Absetz P, Sathish T, Thankappan KR, Fisher EB, Philip NE, Oldenburg B.  Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial. BMC Public Health 2013; 13(1): 95.
  • Sathish T, Williams ED, Pasricha N, Absetz P, Lorgelly P, Wolfe R, Fisher E. Cluster randomised controlled trial of a peer-led lifestyle intervention program: study protocol for the Kerala diabetes prevention program. BMC Public Health 2013; 13(1): 1035.
  • Aziz Z, Absetz P, Oldroyd J, Pronk NP, Oldenburg B. A systematic review of real-world diabetes prevention programs: learnings from the last 15 years. Implementation Science 2015; 10(1): 172.

Research Group

Faculty Research Themes

Infection and Immunology

School Research Themes

Prevention and management of non-communicable diseases (including cancer), and promotion of mental health

Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

Centre for Health Equity

Unit / Centre

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