Translating the Diabetes Prevention Program into the community. The DEPLOY Pilot Study

The Diabetes Prevention Program (DPP) found that an intensive lifestyle intervention can reduce the development of diabetes by more than half in adults with prediabetes, but there is little information about the feasibility of offering such an intervention in community settings. This study evaluated...

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Bibliographic Details
Published in:American journal of preventive medicine 2008-10, Vol.35 (4), p.357-363
Main Authors: Ackermann, Ronald T, Finch, Emily A, Brizendine, Edward, Zhou, Honghong, Marrero, David G
Format: Article
Language:English
Subjects:
Behavioural changes
Counseling
Diabetes
Diabetes Mellitus - prevention & control
Female
Health Promotion
Humans
Interventions
Least-Squares Analysis
Life Style
Lifestyle
Male
Middle Aged
Patient Education as Topic
Pilot Projects
Preventive programmes
Program Evaluation
United States
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Summary:The Diabetes Prevention Program (DPP) found that an intensive lifestyle intervention can reduce the development of diabetes by more than half in adults with prediabetes, but there is little information about the feasibility of offering such an intervention in community settings. This study evaluated the delivery of a group-based DPP lifestyle intervention in partnership with the YMCA. This pilot cluster-randomized trial was designed to compare group-based DPP lifestyle intervention delivery by the YMCA to brief counseling alone (control) in adults who attended a diabetes risk-screening event at one of two semi-urban YMCA facilities and who had a BMI>or=24 kg/m2, >or=2 diabetes risk factors, and a random capillary blood glucose of 110-199 mg/dL. Multivariate regression was used to compare between-group differences in changes in body weight, blood pressures, HbA1c, total cholesterol, and HDL-cholesterol after 6 and 12 months. Among 92 participants, controls were more often women (61% vs 50%) and of nonwhite race (29% vs 7%). After 6 months, body weight decreased by 6.0% (95% CI=4.7, 7.3) in intervention participants and 2.0% (95% CI=0.6, 3.3) in controls (p
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2008.06.035