Uptake, retention, and outcomes of the National Diabetes Prevention Program by enrollee characteristics and program type.

Abstract

AIMS:

To describe National Diabetes Prevention Program (NDPP) uptake, retention, and outcomes by enrollee characteristics and program type.

METHODS:

We studied 776 adult University of Michigan employees, dependents, and retirees with prediabetes and overweight or obesity who enrolled in one of four CDC-recognized NDPPs at no out-of-pocket cost. Programs included 1) an in-person classroom-based program led by certified diabetes educators in an endocrinology outpatient clinic; 2) an in-person classroom-based program led by trained peer instructors in community settings; 3) an in-person fitness-focused program led by trained lifestyle coaches; and 4) an online digital program led by personal health coaches with virtual group meetings. Data from the insurer and surveys were analyzed.

RESULTS:

Older individuals with hypertension and cardiovascular disease were more likely to enroll in classroom-based programs. Program time, location, and perceived focus on diet or physical activity influenced program selection. Retention, weight loss, and physical activity were greater among enrollees in in-person classroom-based programs. Changes in blood pressure, lipid levels, self-rated health, and health-related quality-of-life did not differ by program, nor did Type 2 diabetes mellitus incidence.

CONCLUSIONS:

Individuals with prediabetes who enrolled in a NDPP achieved health benefits regardless of the type of program they chose.

• Authors: William H Herman, Claudia Villatoro, Kevin L Joiner, Laura N McEwen
• Journal: Diabetes research and clinical practice (Diabetes Res Clin Pract) Vol. 203 Pg. 110835 (Sep 2023) ISSN: 1872-8227 [Electronic] Ireland
• PMID: 37478975 (Publication Type: Journal Article)
• Copyright: Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.