Results From a Trial of an Online Diabetes Prevention Program Intervention

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Moin, Tannaz ; Damschroder, Laura J. ; AuYoung, Mona ; Maciejewski, Matthew L. ; Havens, Kathryn ; Ertl, Kristyn ; Vasti, Elena ; Weinreb, Jane E. ; Steinle, Nanette I. ; Billington, Charles J. ; Hughes, Maria ; Makki, Fatima ; Youles, Bradley ; Holleman, Robert G. ; Kim, H. Myra ; Kinsinger, Linda S. ; Richardson, Caroline R.
• Description:
  Introduction:
  
  Online Diabetes Prevention Programs (DPPs) can be scaled-up and delivered broadly. However, little is known about real-world effectiveness and how outcomes compare with in-person DPP. This study examined online DPP weight loss and participation outcomes and secondarily compared outcomes among participating individuals with parallel in-person interventions.
  
  Study design:
  
  A large non-randomized trial supplemented by a comparative analysis of participating individuals from a concurrent trial of two parallel in-person programs: in-person DPP and the Veterans Administration’s standard of care weight loss program (MOVE!).
  
  Setting/participants:
  
  Obese/overweight Veterans with prediabetes enrolled in online DPP (n=268) between 2013 and 2014. Similar eligibility criteria were used to enroll in-person participants between 2012 and 2014 (n=273 in-person DPP, n=114 MOVE!) within a separate trial.
  
  Intervention:
  
  Online DPP included a virtual group format, live e-coach, weekly modules delivered asynchronously and wireless home scales. In-person programs included eight to 22 group-based, face-to-face sessions.
  
  Main outcomes measures:
  
  Weight change at 6 and 12 months, using wirelessly uploaded home scale data or electronic medical record weights from clinical in-person visits. Outcomes were analyzed between 2015 and 2017.
  
  Results:
  
  From 1,182 invitations, 268 (23%) participants enrolled in online DPP. Among these, 158 (56%) completed eight or more modules; mean weight change was –4.7 kg at 6 months and –4.0 kg at 12 months. In a supplemental analysis of participants completing one or more sessions/modules, online DPP participants were most likely to complete eight or more sessions/modules (87% online DPP vs 59% in-person DPP vs 55% MOVE!, p<0.001). Online and in-person DPP participants lost significantly more weight than MOVE! participants at 6 and 12 months; there was no significant difference in weight change between online and in-person DPP.
  
  Conclusions:
  
  An intensive, multifaceted online DPP intervention had higher participation but similar weight loss compared to in-person DPP. An intensive, multifaceted online DPP intervention may be as effective as in-person DPP and help expand reach to those at risk.
  
  
• Subjects:
  Aged Diabetes Mellitus, Type 2 Female Humans Internet Male Middle Aged Obesity Overweight Prediabetic State United States United States Department Of Veterans Affairs Veterans Weight Loss Weight Reduction Programs

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• Keywords:
  Buprenorphine Methadone Mortality Naltrexone Treatment
• Source:
  Am J Prev Med. 55(5):583-591
• Pubmed ID:
  30262149
• Pubmed Central ID:
  PMC6699502
• Document Type:
  Journal Article
• Funding:
  U18 DP006128/DP/NCCDPHP CDC HHSUnited States/ ; IP1 HX001987/HX/HSRD VAUnited States/ ; P30 DK092926/DK/NIDDK NIH HHSUnited States/ ; I01 HX001204/HX/HSRD VAUnited States/ ; I21 HX001046/HX/HSRD VAUnited States/ ; R18 DK105464/DK/NIDDK NIH HHSUnited States/
• Volume:
  55
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:7049c91ffd479c1b11b64b15fe1b43c0c36033616f57df9d935f49d854871fe9e52d5cb3fbff7f18efde939bc054a8571e1cfdea93349260ca24e1f5e2cce424
• Download URL:
  https://stacks.cdc.gov/view/cdc/162436/cdc_162436_DS1.pdf
• File Type:
  [PDF - 216.30 KB ]