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Potential mechanisms for change in diabetes prevention programs: A systematic review
Margit I Berman1, Martha Burla2, Hannah Martin3
1Graduate School of Professional Psychology, University of Saint Thomas, St. Paul, Minnesota, USA.
Summary
Few studies explore how diabetes prevention programs (DPPs) work. Current evidence does not strongly support specific mechanisms, including weight loss, driving health benefits in DPPs.
Area of Science:
- Public Health
- Behavioral Science
- Clinical Interventions
Background:
- Diabetes prevention programs (DPPs) aim to reduce type 2 diabetes incidence.
- Understanding the mechanisms of change (MOC) in DPPs is crucial for optimizing interventions.
- Existing research has not conclusively identified the key factors driving DPP effectiveness.
Conclusions:
- There is a lack of robust evidence supporting specific MMMs in DPPs.
- Weight loss is not conclusively demonstrated as the primary driver of health benefits in DPPs.
- While studies were methodologically sound, pre-registration of mechanism testing was infrequent.
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