The 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 with 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 nonenrolled 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.
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Summer 2022
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July 01 2022
Evaluating the Implementation of a Digital Diabetes Prevention Program in an Integrated Health Care Delivery System Among Older Adults: Results of a Natural Experiment
Stephanie L. Fitzpatrick
;
Stephanie L. Fitzpatrick
1Kaiser Permanente Center for Health Research, Portland, OR
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Meghan Mayhew;
Meghan Mayhew
1Kaiser Permanente Center for Health Research, Portland, OR
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Andreea M. Rawlings;
Andreea M. Rawlings
1Kaiser Permanente Center for Health Research, Portland, OR
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Ning Smith;
Ning Smith
1Kaiser Permanente Center for Health Research, Portland, OR
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Denis B. Nyongesa;
Denis B. Nyongesa
1Kaiser Permanente Center for Health Research, Portland, OR
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William M. Vollmer;
William M. Vollmer
1Kaiser Permanente Center for Health Research, Portland, OR
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Victor J. Stevens;
Victor J. Stevens
1Kaiser Permanente Center for Health Research, Portland, OR
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Sarah K. Grall;
Sarah K. Grall
2Kaiser Permanente Northwest, Portland, OR
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Stephen P. Fortmann
Stephen P. Fortmann
1Kaiser Permanente Center for Health Research, Portland, OR
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Corresponding author: Stephanie L. Fitzpatrick, Stephanie.L.Fitzpatrick@kpchr.org
Clin Diabetes 2022;40(3):345–353
Citation
Stephanie L. Fitzpatrick, Meghan Mayhew, Andreea M. Rawlings, Ning Smith, Denis B. Nyongesa, William M. Vollmer, Victor J. Stevens, Sarah K. Grall, Stephen P. Fortmann; Evaluating the Implementation of a Digital Diabetes Prevention Program in an Integrated Health Care Delivery System Among Older Adults: Results of a Natural Experiment. Clin Diabetes 1 July 2022; 40 (3): 345–353. https://doi.org/10.2337/cd21-0114
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