Translating the diabetes prevention program into a hospital-based weight loss programPreventive and Behavioral Medicine Publications and Presentations
UMMS AffiliationDepartment of Medicine, Division of Preventive and Behavioral Medicine
SubjectsAdult; Diabetes Mellitus; Diffusion of Innovation; Female; Health Promotion; *Hospitals; Humans; Male; Massachusetts; Middle Aged; *Risk Reduction Behavior; *Weight Loss
AbstractOBJECTIVE: Intensive lifestyle interventions have established efficacy, but translation to real-world settings has not been well demonstrated. Using the diffusion of innovations model, we describe the adoption of the Diabetes Prevention Program (DPP) Lifestyle Intervention into a hospital-based program and report feasibility, acceptability, and outcomes. DESIGN: Patients (N = 118; 72% female, mean age = 48.8, mean baseline body mass index = 43.3) were enrolled into 16 weeks of DPP. MAIN OUTCOME MEASURE: Weight loss (kg) was measured at baseline and after treatment. RESULTS: Mean weight loss after 16 weeks was 5.57 kg (SD = 4.6) or 4.6% of baseline weight, and 30% met the 7% weight loss goal. Outcomes are compared with those reported in the DPP trial. Most participants (90.4%) were satisfied with the service; however, only 56% were satisfied with their weight loss. CONCLUSION: The DPP was successfully translated into a real-world clinic with some protocol modifications. Weight loss was modest among heavier patients with more comorbidities than the original DPP sample. Diffusion of innovations theory provides a useful framework for adopting evidence-based programs in the clinical setting.
Rights and PermissionsCitation: Health Psychol. 2008 Jan;27(1 Suppl):S91-8. Link to article on publisher's site
Related ResourcesLink to Article in PubMed
Citation InformationSherry L. Pagoto, Lyle Kantor, Jamie S. Bodenlos, Mitchell Gitkind, et al.. "Translating the diabetes prevention program into a hospital-based weight loss program" Vol. 27 Iss. 1 Suppl (2008) ISSN: 0278-6133 (Linking)
Available at: http://works.bepress.com/sherry_pagoto/46/