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Adapting the Diabetes Prevention Program for Older Adults: Descriptive Study.

Jeannette M Beasley1,2, Emily A Johnston2, Denisa Costea2

  • 1Department of Nutrition and Food Studies, New York University Steinhardt School of School of Culture, Education, and Human Development, New York, NY, United States.

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Summary

An adapted Diabetes Prevention Program delivered virtually shows promise for older adults. Most participants found the program acceptable and would recommend it, supporting future trials.

Keywords:
ageingagingdiabetesdiabetes prevention programdiabeticdietdigital interventionexercisegroup-based interventionlifestyle coachnutritionolder adultonline interventionphysical activitypreventionvirtual deliveryweightweight loss

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Area of Science:

  • Gerontology
  • Public Health
  • Preventive Medicine

Background:

  • Prediabetes impacts nearly half of US adults aged 65 and older.
  • Older adults benefit from the Diabetes Prevention Program but require tailored support for age-related changes.
  • Adapting evidence-based interventions is crucial for effectively managing prediabetes in diverse older populations.

Purpose of the Study:

  • To describe adaptations of the Diabetes Prevention Program for adults aged 65 years and older.
  • To evaluate the acceptability of a pilot virtual delivery of the adapted program.

Main Methods:

  • The Centers for Disease Control and Prevention's Diabetes Prevention Program was modified with resources for older adults.
  • A certified lifestyle coach delivered two virtual sessions via videoconference to 189 older adults.

Main Results:

  • Response rates for pilot session surveys were 34.9% and 34%.
  • 85% of respondents liked the virtual program.
  • 82% would recommend the virtual program to others.

Conclusions:

  • The adapted virtual program is acceptable to older adults.
  • Findings will inform a randomized controlled trial comparing virtual and in-person delivery.
  • This research supports the development of accessible diabetes prevention strategies for seniors.