The Kerala Diabetes Prevention Program (KDPP)

Project Details

The Kerala Diabetes Prevention Program (K-DPP) is a group-based peer-support lifestyle intervention aimed at reducing the risk of Type 2 Diabetes in high-risk individuals. The details of the K-DPP intervention program included increasing the consumption of fruit, vegetables and fibre; reducing the intake of carbohydrates with high glycaemic index and total and saturated fats; increasing physical activity; reducing tobacco use; reducing alcohol consumption; and setting realistic goals for weight loss and other lifestyle risks. The K-DPP intervention program consisted of the following four core components: (1) Group-based peer-support program consisting of 15 sessions for high-risk individuals: The intervention participants received a 12-month intervention program consisting of 15 sessions, aimed at targeting and monitoring lifestyle behaviours. The findings of this unique community-based intervention model using low technology and local expertise for reducing diabetes incidence are also relevant and have been applied to other LMICs as well as resource-poor settings in high-income countries. The program findings have been used to inform the future development, adaptation and implementation of diabetes prevention programs to reduce long-term diabetes risk in India and other LMICs. Lessons from this study will also be relevant and have applicability to other rapidly developing low- and middle-income countries with high burdens of type 2 diabetes.


Professor Brian Oldenburg

Professor Kavumpurathu Thankappan

Associate Professor Robyn Tapp

Professor Ajay Mahal

Assistant Professor Jeemon Panniyammakal

Doctor Sathish Thirunavukkarasu

Professor Edwin Fisher

Doctor Nitin Kapoor


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

Non Communicable Disease Unit

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

Nossal Institute for Global Health

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