How Effective Were Lifestyle Interventions In Real-World Settings That Were Modeled On The Diabetes Prevention Program?

Ali, Mohammed K.; Echouffo‐Tcheugui, Justin B.; Williamson, David F.

doi:10.1377/hlthaff.2011.1009

Cited by 524 publications

(546 citation statements)

References 45 publications

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“…18 Change in weight was similar regardless of whether the intervention was delivered by medical and allied health professional or lay community personnel. 17 The number of core sessions attended was strongly correlated with the number of core sessions offered. There was a dose-response association between the number of sessions and amount of weight loss, such that there was a 1% greater weight loss for every four sessions attended.…”

Section: Evidence For Lifestyle Change Prevention Programsmentioning

confidence: 98%

“…Ali and colleagues 17 conducted a systematic review and meta-analysis of 28 U.S.-based studies that adapted the DPP lifestyle intervention in real-world settings at lower cost. 17 Because the DPP study established that weight loss was the single most important factor in reducing type 2 diabetes incidence, Ali et al examined the weight loss achieved in these translation studies. They also examined program characteristics that influence weight loss and cost, including number of core sessions and type of intervention staff.…”

Section: Evidence For Lifestyle Change Prevention Programsmentioning

confidence: 99%

“…The number of people with prediabetes requires that the workforce be expanded to meet the demand. As demonstrated in the meta-analysis by Ali et al, 17 health professionals and lay community workers can effectively deliver the lifestyle change program.…”

Section: Trainingmentioning

confidence: 99%

“…17 Even though effective lifestyle interventions can be delivered at relatively low costs, particularly in community settings, this dose-response relationship means that optimal impact still requires enough resources in terms of personnel, time, and facilities, and that provision of such services to anyone regardless of risk level makes poor economic sense. This point is portrayed in recent analyses showing that structured lifestyle intervention programs are more cost effective when applied to high-risk adults than when applied to those of moderate or low risk.…”

Section: Tiered Approach To Preventionmentioning

confidence: 99%

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Preventing Type 2 Diabetes in Communities Across the U.S.

Albright¹,

Gregg²

2013

American Journal of Preventive Medicine

261

218

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There are as many as 79 million people in the U.S. with prediabetes, and their risk of developing type 2 diabetes is four to 12 times higher than it is for people with normal glucose tolerance. Although advances in diabetes treatment are still needed, there is a critical need to implement effective strategies to stem the current and projected growth in new cases of type 2 diabetes. RCTs and translation studies have demonstrated that type 2 diabetes can be prevented or delayed in those at high risk, through a structured lifestyle intervention that can be delivered cost effectively. In order to bring this compelling lifestyle intervention to communities across America, Congress authorized the CDC to establish and lead the National Diabetes Prevention Program. Several aspects of the etiology of type 2 diabetes suggest that strategies addressing both those at high risk and the general population are necessary to make a major impact on the diabetes epidemic.

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Section: Evidence For Lifestyle Change Prevention Programsmentioning

confidence: 98%

Section: Evidence For Lifestyle Change Prevention Programsmentioning

confidence: 99%

Section: Trainingmentioning

confidence: 99%

Section: Tiered Approach To Preventionmentioning

confidence: 99%

See 2 more Smart Citations

Preventing Type 2 Diabetes in Communities Across the U.S.

Albright¹,

Gregg²

2013

American Journal of Preventive Medicine

261

218

View full text Add to dashboard Cite

show abstract

“…[20]. In a recent study examining translated DPP lifestyle interventions in real-world settings, of the 28 studies examined, over 70 % of participants were female [24]. Among other evidence, a systematic review evaluating major commercial weight loss programs in the USA found that the vast majority of participants were women, upwards of 70 % in most cases [25].…”

Section: Introductionmentioning

confidence: 99%

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

Azar

Aurora

Wang

et al. 2014

Behav. Med. Pract. Policy Res.

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While group interventions for weight management have been shown to be efficacious, adherence is often low, especially among men. This pilot study seeks to test whether group interventions using web-based group video conferencing (VC) technology is effective for weight loss. We adapted a 12-week curriculum based on the Diabetes Prevention Program, and delivered this intervention to a small group of men (BMI ≥30 kg/m 2 ), using web-based group VC. Participants were randomized to intervention (n=32) or delayed-intervention control group (n=32). The intervention group lost 3.5 % (95 % CI 2.1 %, 4.9 %) of their initial body weight. Difference in mean weight loss was 3.2 kg (p=0.0002) and mean BMI decrease was 1.0 kg/m 2 (p=0.0010) between the two groups. Virtual small groups may be an effective means of allowing face-to-face group interaction, while overcoming some barriers to access.

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Translating the Diabetes Prevention Program Lifestyle Intervention for Weight Loss Into Primary Care

Ma¹,

Yank²,

Xiao³

et al. 2013

JAMA Intern Med

272

315

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Background:The Diabetes Prevention Program (DPP) lifestyle intervention reduced the incidence of type 2 diabetes mellitus (DM) among high-risk adults by 58%, with weight loss as the dominant predictor. However, it has not been adequately translated into primary care. Methods:We evaluated 2 adapted DPP lifestyle interventions among overweight or obese adults who were recruited from 1 primary care clinic and had pre-DM and/or metabolic syndrome. Participants were randomized to (1) a coach-led group intervention (n = 79), (2) a selfdirected DVD intervention (n = 81), or (3) usual care (n=81). During a 3-month intensive intervention phase, the DPP-based behavioral weight-loss curriculum was delivered by lifestyle coach-led small groups or homebased DVD. During the maintenance phase, participants in both interventions received lifestyle change coaching and support remotely-through secure email within an electronic health record system and the American Heart Association Heart360 website for weight and physical activity goal setting and self-monitoring. The primary outcome was change in body mass index (BMI) (calculated as weight in kilograms divided by height in meters squared) from baseline to 15 months.Results: At baseline, participants had a mean (SD) age of 52.9 (10.6) years and a mean BMI of 32.0 (5.4); 47% were female; 78%, non-Hispanic white; and 17%, Asian/ Pacific Islander. At month 15, the meanϮSE change in BMI from baseline was Ϫ2.2Ϯ0.3 in the coach-led group vs Ϫ0.9 Ϯ 0.3 in the usual care group (P Ͻ .001) and Ϫ1.6Ϯ0.3 in the self-directed group vs usual care (P=.02). The percentages of participants who achieved the 7% DPPbased weight-loss goal were 37.0% (P=.003) and 35.9% (P=.004) in the coach-led and self-directed groups, respectively, vs 14.4% in the usual care group. Both interventions also achieved greater net improvements in waist circumference and fasting plasma glucose level. Conclusion:Proven effective in a primary care setting, the 2 DPP-based lifestyle interventions are readily scalable and exportable with potential for substantial clinical and public health impact.

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How Effective Were Lifestyle Interventions In Real-World Settings That Were Modeled On The Diabetes Prevention Program?

Cited by 524 publications

References 45 publications

Preventing Type 2 Diabetes in Communities Across the U.S.

Preventing Type 2 Diabetes in Communities Across the U.S.

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

Translating the Diabetes Prevention Program Lifestyle Intervention for Weight Loss Into Primary Care

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