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Translating the Diabetes Prevention Program: a comprehensive model for prevention training and program delivery.

M Kaye Kramer¹, Andrea M Kriska, Elizabeth M Venditti

¹Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania 15213, USA. mkk3@pitt.edu

American Journal of Preventive Medicine

|December 1, 2009

Summary

This summary is machine-generated.

A lifestyle intervention model effectively reduced diabetes and cardiovascular disease risk factors in high-risk individuals. The Group Lifestyle Balance program demonstrated significant weight loss and improved health markers, showing its success in community settings.

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Area of Science:

Public Health
Preventive Medicine
Lifestyle Interventions

Background:

The Diabetes Prevention Program (DPP) established lifestyle intervention efficacy for type 2 diabetes and metabolic syndrome.
A need exists for a universal framework to translate DPP interventions across diverse settings, ensuring fidelity through training, support, and evaluation.

Purpose of the Study:

To develop and evaluate a comprehensive model for translating a modified DPP lifestyle intervention into community settings.
The model focuses on training, support, and program delivery for diabetes prevention.

Main Methods:

Adapted the DPP lifestyle intervention into a 12-session group program, 'Group Lifestyle Balance'.
Developed a training and support model for prevention professionals, mirroring DPP protocols.
Conducted a nonrandomized prospective evaluation in two phases (N=93) with individuals at high risk for diabetes (BMI ≥25 kg/m², metabolic syndrome or prediabetes).
Collected data at baseline, post-intervention, and at 6 and 12 months for Phase 2.

Main Results:

Both phases showed significant reductions in weight, waist circumference, and BMI from baseline.
Phase 2 participants achieved sustained reductions in total cholesterol, non-HDL cholesterol, and blood pressure at 12 months.
The 3-month intervention yielded an average weight loss of 7.4 pounds (3.5%); 52.2% achieved ≥5% weight loss, and 23.8% achieved ≥7% weight loss.

Conclusions:

The developed comprehensive diabetes prevention model, including training and support, proved successful.
The model effectively reduced diabetes and cardiovascular disease risk factors in a high-risk population.
This approach enhances treatment fidelity and translates evidence-based interventions into community practice.