DPPFit: Developing and Testing a Technology-Based Adaptation of the Diabetes Prevention Program (DPP) to Address Prediabetes in a Primary Care Setting

Journal of the American Board of Family Medicine: JABFM

article

Jessica L. Stewart¹  Christos Hatzigeorgiou²  Catherine L. Davis³  Christy J. W. Ledford⁴ 

[1] Division of Epidemiology, Department of Population Health Sciences, Augusta University;General Internal Medicine, Department of Medicine, Medical College of Georgia, Augusta University;Georgia Prevention Institute, Medical College of Georgia, Augusta University;Department of Family Medicine, Medical College of Georgia at Augusta University

关键词: Diabetes Prevention Program (DPP);    Lifestyle;    Metabolic Syndrome;    mHealth;    Primary Health Care;    Technology;    Telemedicine;    Translational Research;   

DOI  :  10.3122/jabfm.2022.03.210415

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Objective: The objective of this study was to adapt the National Diabetes Prevention Program (N-DPP) into a pragmatic tool for primary care settings by using daily text messaging to deliver all N-DPP content, supplemented by Fitbit technology to provide behavioral strategies typically delivered by personnel in traditional programs. Test the mobile health (mHealth), technology-based N-DPP adaptation (DPPFit) in primary care patients with prediabetes using a remote intervention based on the traditional 16 core sessions of the DPP.Methods: A pilot study with pre/post survey analysis of aggregate data were used to determine changes in weight, physical activity, sedentary behavior, and associated diabetes risk outcomes among study participants (n = 33). In this study, participants were issued Fitbit devices and provided the remote intervention over 16 weeks via automated text messaging technology, which followed the content of the DPP core education sessions.Results: Data analysis from baseline to 6-month follow-up demonstrate mean weight loss of 3.3 kg (95% CI: -6.2 to -0.5; P = .026), reduction in body mass index by 1.25 points (95% CI: -2.1 to -0.4; P = .005), a significant average increase of 2 days in self-reported physical activity per week (95% CI: 0.4 to 3.6; P = .015) and an average 10% decrease in sedentary time (P = .007).Conclusions: The remote DPPFit intervention demonstrates a promising and practical approach to the management of prediabetes in a primary care setting. The results support the use of the DPPFit program and application to achieve meaningful outcomes in a population with prediabetes. A randomized controlled trial with a larger sample is warranted.

【 授权许可】

CC BY