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A randomized comparative effectiveness trial of using cable television to deliver diabetes prevention programming
Ronald T Ackermann1, Lewis G Sandy, Tom Beauregard
1Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Obesity (Silver Spring, Md.)
|April 18, 2014
Summary
In-home diabetes prevention programs delivered via cable television achieved modest weight loss. Viewing at least nine video episodes resulted in greater weight reduction, showing effectiveness for remote lifestyle interventions.
Area of Science:
- Public Health
- Preventive Medicine
- Digital Health
Background:
- Diabetes prevention is crucial for public health.
- Traditional face-to-face interventions face accessibility challenges.
- Novel delivery methods are needed to reach at-risk populations.
Purpose of the Study:
- To assess the effectiveness of in-home diabetes prevention programming.
- To compare two delivery strategies: cable television alone versus combined with web support.
- To evaluate weight change as a primary outcome.
Main Methods:
- Randomized trial with adults at risk for diabetes.
- Intervention delivered via 16-session video-on-demand cable television.
- Comparison between video-only and video plus web-based support.
Main Results:
- 306 participants randomized; 87% viewed at least one video episode.
- Mean weight loss was 3.3% at 5 months across both groups.
- Participants viewing ≥9 episodes achieved 4.9% weight loss.
Conclusions:
- In-home, cable TV-based diabetes prevention is feasible.
- Modest weight loss was achieved, comparable to in-person programs.
- Higher engagement with video content correlated with greater weight loss.
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