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Uptake, retention, and outcomes of the National Diabetes Prevention Program by enrollee characteristics and program type
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9 2023
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Source: Diabetes Res Clin Pract. 203:110835
[PDF-222.05 KB]
Details:
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Alternative Title:Diabetes Res Clin Pract
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Personal Author:
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Description:Aims:
To describe National Diabetes Prevention Program (NDPP) uptake, retention, and outcomes by enrollee characteristics and program type.
Methods:
We studied 776 adult University of Michigan employees, dependents, and retirees with prediabetes and overweight or obesity who enrolled in one of four CDC-recognized NDPPs at no out-of-pocket cost. Programs included 1) an in-person classroom-based program led by certified diabetes educators in an endocrinology outpatient clinic; 2) an in-person classroom-based program led by trained peer instructors in community settings; 3) an in-person fitness-focused program led by trained lifestyle coaches; and 4) an online digital program led by personal health coaches with virtual group meetings. Data from the insurer and surveys were analyzed.
Results:
Older individuals with hypertension and cardiovascular disease were more likely to enroll in classroom-based programs. Program time, location, and perceived focus on diet or physical activity influenced program selection. Retention, weight loss, and physical activity were greater among enrollees in in-person classroom-based programs. Changes in blood pressure, lipid levels, self-rated health, and health-related quality-of-life did not differ by program, nor did Type 2 diabetes mellitus incidence.
Conclusions:
Individuals with prediabetes who enrolled in a NDPP achieved health benefits regardless of the type of program they chose.
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Source:
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Pubmed ID:37478975
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Pubmed Central ID:PMC10928672
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Document Type:
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Funding:
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Volume:203
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