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Contents Lifestyle Modification Program (LMP) Reset Your Life: Lifestyle Modification Program |
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Lifestyle Modification Program (LMP)
In a major health prevention initiative targeting Type 2 Diabetes, the Commonwealth Government has developed Lifestyle Modification Programs for people aged 40 – 49 years and ATSI patients aged 15 – 54 years who are at high risk of developing Type 2 Diabetes. International evidence has shown that intensive lifestyle interventions in high risk patients can reduce the incidence of Type 2 Diabetes by up to 58%.
In April 2007 the Council of Australian Governments (COAG) agreed to a cost shared package of over $200 million to address the significant growth of Type 2 Diabetes. The resulting “Type 2 Diabetes Prevention Program” has two main focuses:
The introduction of a Type 2 Diabetes Risk Evaluation health assessment for people aged 40-49 years. The GP may select MBS Item 701 (brief), 703 (standard), 705 (long) or 707 (prolonged) to undertake the type 2 diabetes risk evaluation depending on the length of the consultation as determined by the complexity of the patient’s presentation. (MBS Item 715 may be used for ATSI patients)
The development of a national program of Lifestyle Modification Programs (LMP) targeting people aged 40-49 who are identified as at high risk of developing diabetes. These programs may be referred to as “Reset Your Life”
*Health Assessment for people aged 40-49 years with high risk of developing type 2 diabetes: the aim of this assessment is to support GPs to address the health needs of patients 40-49 years who are at high risk of developing type 2 diabetes. It provides GPs with the opportunity to review patient’s risk factors and initiate early interventions such as referral to the subsidised LMPs to reduce the risk or delay the onset of Type 2 Diabetes in eligible patients. Risk status will be determined by the results of the patient completing the Australian Diabetes Risk Assessment (AUSDRISK) tool.
*The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK): the AUSDRISK tool has been developed by the International Diabetes Institute (IDI) and has been adapted for the Australian clinical setting using AUSDIAB data. The tool provides a basis for both health professionals and patients to assess the risk of developing type 2 diabetes over a 5 year period. The completion of the AUSDRISK tool and a high score (12 or above) will be mandatory for the patient to access this health assessment. It may be completed by the patient or with the assistance of a health professional or practice staff.
Key Messages for your Practice:
- All patients aged 40-49 years and ATSI patients aged 15-54 years who are assessed to be at high risk for developing diabetes are eligible to attend a LMP
- Completion of the AUSDRISK tool is mandatory for all patients accessing LMPs through any of the relevant MBS Item numbers
- This program focuses on the prevention of diabetes, and does not target patients who have already been diagnosed with diabetes
Reset Your Life: Lifestyle Modification Program (LMP)
The nationally accredited Lifestyle Modification Program (LMP), “Reset Your Life”, aims to reduce the risk or delay the onset of Type 2 Diabetes in participants. The LMP is an integral component of the broader National Prevention of Type 2 Diabetes Program.
The program is available through referral from a GP. Patients are eligible for the subsidised program if they:
- Are aged 40-49 years inclusive (15-54 years for Ab&TSI)
- Have been assessed as high risk of developing type 2 diabetes (i.e. a score of 12 or greater on AUSDRISK)
- Have had a diagnosis of type 2 diabetes excluded
- Have not previously been subsidised for an LMP
- Have provided consent for de-identified patient information to be passed on to the Divisions of General Practice network as indicated on the GP referral form for program monitoring and evaluation
The program consists of a series of group educational and motivational sessions supporting lifestyle and behavioural changes and adoption of healthy lifestyle choices in participants. Group size is limited to 15 participants. The program runs over a six month period.
Participants attend seven sessions on the following topics:
- The risks of diabetes and their relationship to lifestyle factors
- The importance of regular diabetes screening
- Nutrition advice and education
- Physical activity advice and education
- Behavioural strategies to support the adoption and maintenance of healthy lifestyle changes including goal setting
- Smoking cessation and alcohol reduction advice if required
- Information about community resources to provide support in maintaining lifestyle change
If the participant is eligible for the subsidised program, there is a one off co-payment of $50 to cover administration costs. There is no charge for pension or concession card holders (co-payment subsidised, please indicate concession status on GP referral form). There may be potential for private health fund rebates.
General Practice North West acts as the referral gateway for patients enrolling in a LMP program.
The patient is referred by their usual GP through the timed Health Assessment item numbers 701, 703, 705 and 707 or item 715 for Ab&TSI patients.
The GP completes a LMP GP Referral Form and faxes both the form and a copy of the AUSDRISK tool to General Practice North West on 6425 0888. The patient will then be contacted by the LMP provider at the GPNW regarding the start date for the program.
» Interactive AUSDRISK Assessment Tool
(this is not a template, but rather instructions on how to identify "at risk" patients and then use the recall letter to send to patients)
» Recall Letter "Type 2 Diabetes - At Risk"
(doc - a letter to patients who have been identified as "at risk" of developing Type 2 Diabetes)
» Recall Letter "Type 2 Diabetes - At Risk"
(rtf - a letter to patients who have been identified as "at risk" of developing Type 2 Diabetes)
RESET Your Life an accredited Lifestyle Modification Program
Reset Your Life Online Registration Form
North West Region Facilitator Listing
GP Feedback Letter
Get a New Lease of Life (Aust General Practice Network Website)
Sharee Taylor
Program Officer
Email: staylor@gpnw.com.au
Ph: 6425 0807
Fax: 6425 0888