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Evaluating the Implementation of Digital and In-Person Diabetes Prevention Program in a Large, Integrated Health

Stephanie L Fitzpatrick1, Meghan Mayhew1, Chris L Catlin1

  • 1Kaiser Permanente Center for Health Research in Portland, OR.

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|May 24, 2022
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Summary

This study evaluates digital and in-person Diabetes Prevention Programs (DPP) in a large health system. Findings will inform best practices for DPP implementation and sustainability.

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Area of Science:

  • Public Health
  • Health Services Research
  • Digital Health

Background:

  • Diabetes Prevention Programs (DPP) are increasingly implemented in various settings.
  • Evaluating DPP delivery modes is crucial for effective public health interventions.

Purpose of the Study:

  • To describe the protocol for a mixed-methods study evaluating DPP implementation in a large, integrated health system.
  • To assess the implementation, acceptability, and sustainability of digital versus in-person DPP delivery.

Main Methods:

  • A natural experiment design involving Kaiser Permanente Northwest patients (19-75 years) with prediabetes and obesity.
  • Participants were invited to digital (n=4124) and in-person (n=2669) DPP from 2016-2018.
  • Data collection includes electronic health records for weight and hemoglobin A1c, plus qualitative interviews and cost-effectiveness analysis.

Main Results:

  • Primary outcome: weight.
  • Secondary outcome: hemoglobin A1c level.
  • Qualitative data will explore patient and stakeholder perspectives.

Conclusions:

  • The study employs a mixed-methods, natural experiment design to evaluate DPP implementation.
  • Findings will contribute to understanding best practices for DPP delivery in large health systems.
  • This research aims to inform long-term sustainability of DPP interventions.