Uptake, retention, and outcomes of the National Diabetes Prevention Program by enrollee characteristics and program type

Details

• Alternative Title:
  Diabetes Res Clin Pract
• Personal Author:
  Herman, William H. ; Villatoro, Claudia ; Joiner, Kevin L. ; McEwen, Laura N.
• 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.
  
  
• Subjects:
  Adult Diabetes Mellitus, Type 2 Health Promotion Humans Life Style Nitro Compounds Prediabetic State Propiophenones
• Keywords:
  Prediabetes Prevention Prospective Observational Study Type 2 Diabetes Mellitus
• Source:
  Diabetes Res Clin Pract. 203:110835
• Pubmed ID:
  37478975
• Pubmed Central ID:
  PMC10928672
• Document Type:
  Journal Article
• Funding:
  R01 DK109995/DK/NIDDK NIH HHSUnited States/ ; U18 DP006712/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  203
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6d6080d22adbe09ce0ab14b57a2cdc89ada63c8b17475ce35d2a9f26b77fe70e
• Download URL:
  https://stacks.cdc.gov/view/cdc/151677/cdc_151677_DS1.pdf
• File Type:
  [PDF - 222.05 KB ]