Translating the diabetes prevention program into a hospital-based weight loss program
Department of Medicine, Division of Preventive and Behavioral Medicine
Adult; Diabetes Mellitus; Diffusion of Innovation; Female; Health Promotion; *Hospitals; Humans; Male; Massachusetts; Middle Aged; *Risk Reduction Behavior; *Weight Loss
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventative Medicine
OBJECTIVE: Intensive lifestyle interventions have established efficacy, but translation to real-world settings has not been well demonstrated. Using the diffusion of innovations model, we describe the adoption of the Diabetes Prevention Program (DPP) Lifestyle Intervention into a hospital-based program and report feasibility, acceptability, and outcomes.
DESIGN: Patients (N = 118; 72% female, mean age = 48.8, mean baseline body mass index = 43.3) were enrolled into 16 weeks of DPP.
MAIN OUTCOME MEASURE: Weight loss (kg) was measured at baseline and after treatment.
RESULTS: Mean weight loss after 16 weeks was 5.57 kg (SD = 4.6) or 4.6% of baseline weight, and 30% met the 7% weight loss goal. Outcomes are compared with those reported in the DPP trial. Most participants (90.4%) were satisfied with the service; however, only 56% were satisfied with their weight loss.
CONCLUSION: The DPP was successfully translated into a real-world clinic with some protocol modifications. Weight loss was modest among heavier patients with more comorbidities than the original DPP sample. Diffusion of innovations theory provides a useful framework for adopting evidence-based programs in the clinical setting.
Rights and Permissions
Citation: Health Psychol. 2008 Jan;27(1 Suppl):S91-8. Link to article on publisher's site