Version 1
: Received: 10 October 2023 / Approved: 11 October 2023 / Online: 13 October 2023 (07:12:41 CEST)
Version 2
: Received: 1 December 2023 / Approved: 4 December 2023 / Online: 4 December 2023 (04:29:50 CET)
Collins, C.; McCallum, E.; Nordby, K.; Aggarwal, S.; Griffith, E.; Thomas, C.; Dunn, C. Enrollment, Engagement, and Effectiveness of a Large-Scale Diabetes Prevention Program Using Synchronous Distance Technology. Diabetology2023, 4, 574-585.
Collins, C.; McCallum, E.; Nordby, K.; Aggarwal, S.; Griffith, E.; Thomas, C.; Dunn, C. Enrollment, Engagement, and Effectiveness of a Large-Scale Diabetes Prevention Program Using Synchronous Distance Technology. Diabetology 2023, 4, 574-585.
Collins, C.; McCallum, E.; Nordby, K.; Aggarwal, S.; Griffith, E.; Thomas, C.; Dunn, C. Enrollment, Engagement, and Effectiveness of a Large-Scale Diabetes Prevention Program Using Synchronous Distance Technology. Diabetology2023, 4, 574-585.
Collins, C.; McCallum, E.; Nordby, K.; Aggarwal, S.; Griffith, E.; Thomas, C.; Dunn, C. Enrollment, Engagement, and Effectiveness of a Large-Scale Diabetes Prevention Program Using Synchronous Distance Technology. Diabetology 2023, 4, 574-585.
Abstract
The Centers for Disease Control and Prevention (CDC) indicates that individuals with prediabetes are significantly less likely to develop type 2 diabetes if they participate in a lifestyle change program that results in at least 5% weight loss and 150 minutes of physical activity per week. The CDC recognizes distance learning as an effective delivery mode for lifestyle change programs to prevent type 2 diabetes. The purpose of this study was to assess enrollment, engagement, and effectiveness of a type 2 diabetes prevention program (DPP) using synchronous distance technology. Eat Smart, Move More, Prevent Diabetes (ESMMPD) is an intensive 12-month DPP delivered using synchronous distance technology. Throughout 26 lessons, participants focused on healthy eating, physical activity, and mindfulness behaviors. Study findings showed a significant decrease in A1C (-0.24 p<.0001). Weight loss averaged 5.66% for those who completed the program. Based on the Wilcoxon signed-rank test, participants demonstrated statistically significant changes in self-reported confidence in their ability to perform all 18 health-promoting behaviors assessed (p<.0001). Participation in the program also resulted in the adoption of health promoting behaviors. A DPP using synchronous distance technology is an effective delivery mode to help participants adopt healthy behaviors, increase physical activity, and achieve the weight loss necessary to prevent or delay the onset of type 2 diabetes.
Keywords
prediabetes; National DPP; synchronous distance technology; distance learning delivery mode; lifestyle change program; Diabetes Prevention Recognition Program (DPRP)
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Commenter: Casey Collins
Commenter's Conflict of Interests: Author