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Updated: Jul 7, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Translating the diabetes prevention program into a hospital-based weight loss program.

Sherry L Pagoto¹, Lyle Kantor, Jamie S Bodenlos

¹Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, MA, USA. Sherry.pagoto@umassmed.edu

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association

|March 8, 2008

Summary

The Diabetes Prevention Program (DPP) Lifestyle Intervention was successfully adapted for a hospital setting. While participants achieved modest weight loss, the program

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Last Updated: Jul 7, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Area of Science:

Public Health
Clinical Research
Health Services Research

Background:

Intensive lifestyle interventions show efficacy but real-world translation is challenging.
The Diffusion of Innovations model can guide evidence-based program adoption.
Hospital-based programs offer opportunities to implement proven interventions.

Purpose of the Study:

To describe the adoption of the Diabetes Prevention Program (DPP) Lifestyle Intervention in a hospital setting.
To evaluate the feasibility, acceptability, and outcomes of the adapted DPP.
To assess the utility of the Diffusion of Innovations model in clinical practice.

Main Methods:

118 patients (72% female, mean age 48.8, BMI 43.3) enrolled in a 16-week DPP program.
Weight loss was measured at baseline and post-intervention.
Outcomes were compared to the original DPP trial data.

Main Results:

Mean weight loss was 5.57 kg (4.6% of baseline weight), with 30% achieving a 7% weight loss goal.
Participant satisfaction with the service was high (90.4%), but satisfaction with weight loss outcomes was lower (56%).
Outcomes were modest compared to the original DPP trial, particularly for heavier patients with comorbidities.

Conclusions:

The DPP Lifestyle Intervention can be successfully translated to a real-world clinical setting with modifications.
Diffusion of Innovations theory provides a valuable framework for implementing evidence-based programs in healthcare.
Further research may be needed to optimize outcomes for specific patient populations within adapted programs.