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Evaluating the Implementation of a Digital Diabetes Prevention Program in an Integrated Health Care Delivery System Among Older Adults: Results of a Natural Experiment
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posted on 2022-03-25, 20:02 authored by Stephanie L. Fitzpatrick, Meghan Mayhew, Andreea M. Rawlings, Ning Smith, Denis B. Nyongesa, William M. Vollmer, Victor J. Stevens, Sarah K. Grall, Stephen P. FortmannThe purpose of this
natural experiment study was to assess the effectiveness of a
12-month digital Diabetes Prevention Program (DPP) for adults aged 65–75 years
with prediabetes and obesity within a large, integrated
health care system. Adjusting
for propensity scores and covariates, patients who enrolled and participated in
the digital DPP had a mean weight loss of 8.6 lb over
12 months and 5.7 lb by 24 months, compared to a
steady, minimal weight loss of 1.3 lb over 12 months
and 2.8 lb by 24 months among patients not enrolled. There was a
significant difference in mean change in A1C between enrolled and non-enrolled
patients over 12 months (−0.10%), but not by 24 months (−0.06%). Digital DPP
appears to be an effective weight loss option and potential diabetes prevention
intervention for older adults at high risk for type 2 diabetes.
