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Evaluating the Implementation of a Digital Diabetes Prevention Program in an Integrated Health Care Delivery System Among Older Adults: Results of a Natural Experiment.
- Source :
-
Clinical Diabetes . Summer2022, Vol. 40 Issue 3, p345-353. 9p. - Publication Year :
- 2022
-
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]
- Subjects :
- *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
Subjects
Details
- Language :
- English
- ISSN :
- 08918929
- Volume :
- 40
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Clinical Diabetes
- Publication Type :
- Academic Journal
- Accession number :
- 158202557
- Full Text :
- https://doi.org/10.2337/cd21-0114