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Impact of Maintenance Session Attendance and Early Weight Loss Goal Achievement on Weight Loss Success in a Community-Based Diabetes Prevention Program Intervention
- Source :
- Sci Diabetes Self Manag Care
- Publication Year :
- 2021
-
Abstract
- Purpose The purpose of this study was to examine how maintenance session attendance and 6-month weight loss (WL) goal achievement impacted 12-month 5% WL success in older adults participating in a community-based Diabetes Prevention Program (DPP) lifestyle intervention. Methods Data were combined from 2 community trials that delivered the 12-month DPP-based Group Lifestyle Balance (GLB) to overweight/obese adults (mean age = 62 years, 76% women) with prediabetes and/or metabolic syndrome. Included participants (n = 238) attended ≥4 core sessions (months 0-6) and had complete data on maintenance attendance (≥4 of 6 sessions during months 7-12) and 6- and 12-month WL (5% WL goal, yes/no). Multivariate logistic regression was used to estimate the odds of 12-month 5% WL associated with maintenance attendance and 6-month WL. Associations between age (Medicare-eligible ≥65 vs Results Both attending ≥4 maintenance sessions and meeting the 6-month 5% WL goal increased the odds of meeting the 12-month 5% WL goal. For those not meeting the 6-month WL goal, maintenance session attendance did not improve odds of 12-month WL success. Medicare-eligible adults ≥65 years were more likely to meet the 12-month WL goal (odds ratio = 3.03, 95% CI, 1.58-5.81) versus Conclusions The results of this study provide important information regarding participant attendance and WL for providers offering DPP-based lifestyle intervention programs across the country who are seeking Medicare reimbursement. Understanding Medicare reimbursement-defined success will allow these providers to focus on and develop strategies to enhance program effectiveness and sustainability.
- Subjects :
- Gerontology
Male
Health (social science)
Endocrinology, Diabetes and Metabolism
030209 endocrinology & metabolism
Medicare
Health Professions (miscellaneous)
Article
Prediabetic State
03 medical and health sciences
0302 clinical medicine
Weight loss
Diabetes mellitus
Weight Loss
medicine
Goal achievement
Humans
030212 general & internal medicine
Session (computer science)
Aged
Community based
Attendance
Middle Aged
medicine.disease
Program intervention
United States
Diabetes Mellitus, Type 2
Female
medicine.symptom
Psychology
Goals
Subjects
Details
- ISSN :
- 26350114
- Volume :
- 47
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The science of diabetes self-management and care
- Accession number :
- edsair.doi.dedup.....f154d557946d6040a7f4a66e9ae1b180