1. Evaluating the Implementation of a Digital Diabetes Prevention Program in an Integrated Health Care Delivery System Among Older Adults: Results of a Natural Experiment.
- Author
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Fitzpatrick, Stephanie L., Mayhew, Meghan, Rawlings, Andreea M., Smith, Ning, Nyongesa, Denis B., Vollmer, William M., Stevens, Victor J., Grall, Sarah K., and Fortmann, Stephen P.
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DIABETES prevention , *OBESITY treatment , *EXPERIMENTAL design , *GLYCOSYLATED hemoglobin , *EVALUATION of human services programs , *TIME , *DIGITAL health , *TREATMENT effectiveness , *HUMAN services programs , *WEIGHT loss , *DESCRIPTIVE statistics , *INTEGRATED health care delivery , *PREDIABETIC state , *OLD age - Abstract
The purpose of this natural experiment study was to assess the effectiveness of a 12-month digital Diabetes Prevention Program (DPP) for adults aged 65–75 years with prediabetes and obesity within a large, integrated health care system. Adjusting for propensity scores and covariates, patients who enrolled and participated in the digital DPP had a mean weight loss of 8.6 lb over 12 months and 5.7 lb by 24 months, compared with a steady, minimal weight loss of 1.3 lb over 12 months and 2.8 lb by 24 months among patients not enrolled. There was a significant difference in mean change in A1C between enrolled and nonenrolled patients over 12 months (−0.10%), but not by 24 months (−0.06%). Digital DPP appears to be an effective weight loss option and potential diabetes prevention intervention for older adults at high risk for type 2 diabetes. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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