The long-term effects of a peer led lifestyle intervention programs on diabetes progression and cardiovascular risk: the Kerala Diabetes Prevention Program

Project Details

The KDPP is a novel and cost-effective approach to diabetes prevention that builds on preexisting infrastructure in the Indian state of Kerala to prevent diabetes from developing.  The Kerala Diabetes Prevention Program (KDPP) is one of the first peer led structured lifestyle modification programs for chronic disease prevention developed exclusively for people living in a rural area of a lower middle-income country.  KDPP trains locals in rural communities in Kerala to run small group sessions to support and lead the community in the lifestyle change process though education, goal setting and monitoring of progress. A cluster randomized trial of KDPP undertaken in 60 communities in Kerala over the last five years has shown significantly reduction of diabetes incidence among those with IGT, using an intervention delivery model that is very pragmatic and scalable in India. The evaluation also found significant reduction in key CVD risk factors as well as mean CVD risk at 24 months. By following up the KDPP at 7 years from its inception, we can measure the interventions long term effectiveness, not just on participants but also in terms of economic efficiency, community engagement and program maintenance, indicating the potential for scalability


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 ID: APP1160283

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.

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