Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women
Department of Medicine, Division of Preventive and Behavioral Medicine
Postpartum Period; Weight Gain; Diabetes Mellitus; Intervention Studies; Health Promotion; Healthcare Disparities
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventative Medicine
The Women Infants and Children (WIC) program is a promising venue in which to implement weight loss interventions for low-income postpartum women. The goals of this study were to describe formative steps to translate the DPP lifestyle intervention to be delivered to diverse low-income postpartum women who are served by the WIC program, and to present the results of a pilot trial of the intervention. The steps of intervention translation involved were the following: (1) building partnerships, (2) understanding the target setting, (3) understanding the target population, (4) re-designing the intervention, and (5) refining the intervention. The pilot trial was a single group pre/post test comparison among 27 overweight/obese postpartum WIC clients. The intervention resulted in an average weight loss of 4.6 lb at a 4-month follow-up (p = 0.004). A dose–response association between intervention attendance and weight loss was observed. This translation of the DPP for diverse low-income postpartum women has potential for widespread implementation.
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Citation: Rosal MC, Lemon SC, Nguyen OHT, Driscoll NE, DiTaranto L. Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women. Translational Behavioral Medicine: Practice, Policy, Research. Published online Sept. 16, 2011. DOI 10.1007/s13142-011-0069-4