Differences in Weight Loss by Race and Ethnicity in the PRIDE Trial: a Qualitative Analysis of Participant Perspectives

• Published in: Journal of general internal medicine : JGIM 2022-11, Vol.37 (14), p.3715-3722
• Main Authors: Saju, Rintu, Castellon-Lopez, Yelba, Turk, Norman, Moin, Tannaz, Mangione, Carol M., Norris, Keith C., Vu, Amanda, Maranon, Richard, Fu, Jeffery, Cheng, Felicia, Duru, O. Kenrik
• Format: Article
• Language: English
• Subjects: Clinical decision making; Decision making; Diabetes; Diabetes mellitus; Disposable income; Ethnicity; Hispanic or Latino; Hispanic people; Humans; Income; Internal Medicine; Life Style; Lifestyles; Medicine; Medicine & Public Health; Minority & ethnic groups; Original Research: Qualitative Research; Prediabetic State - diagnosis; Prediabetic State - therapy; Prevention; Qualitative analysis; Race; Retirement; Support systems; Weight Loss
• ISSN: 0884-8734; 1525-1497; 1525-1497
• DOI: 10.1007/s11606-022-07521-5

Background Many Diabetes Prevention Program (DPP) translation efforts have been less effective for underresourced populations. In the cluster-randomized Prediabetes Informed Decision and Education (PRIDE) trial, which evaluated a shared decision-making (SDM) intervention for diabetes prevention, Hispanic and non-Hispanic Black participants lost less weight than non-Hispanic White participants at 12-month follow-up. Objective To explore perspectives about weight loss from PRIDE participants of different racial and ethnic groups. Participants Sample of participants with prediabetes who were randomized to the PRIDE intervention arm ( n =24). Approach We conducted semi-structured interviews within three groups stratified by DPP participation and % weight loss at 12 months: ( DPP+/WL+ , enrolled in DPP and lost >5% weight; DPP+/WL− , enrolled in DPP and lost