Article

Adapted diabetes prevention program lifestyle intervention can be effectively delivered through telehealth.

Holy Rosary Healthcare, Miles City, MT, USA.
The Diabetes Educator (impact factor: 1.96). 36(4):651-6. DOI:10.1177/0145721710372811 pp.651-6
Source: PubMed

ABSTRACT The purpose of this study was to assess the feasibility of delivering an adapted group-based version of the Diabetes Prevention Program's (DPP) lifestyle intervention through telehealth video conferencing.
In 2009, the Montana Department of Public Health and Human Services in collaboration with Holy Rosary Heathcare implemented the DPP lifestyle intervention, which was provided to an on-site group in 1 community and simultaneously through telehealth to a second group in a remote frontier community. Participants obtained medical clearance from their primary care physician and were eligible if they were overweight and had 1 or more of the following risk factors: prediabetes, impaired glucose tolerance/impaired fasting glucose (IGT/IFG), a history of gestational diabetes (GDM) or the delivery of an infant >9 pounds, hypertension, or dyslipidemia.
A total of 13 and 16 eligible adults enrolled in the on-site and the telehealth program, and 13 (100%) and 14 (88%) participants completed the 16-week program, respectively. Both the on-site and telehealth groups achieved high levels of weekly physical activity and there were no significant differences between groups. Over 45% of on-site and telehealth participants achieved the 7% weight loss goal with the average weight loss per participant greater than 6.4 kg in both groups.
Our findings suggest that it is feasible to deliver an adapted group-based DPP lifestyle intervention through telehealth resulting in weight loss outcomes similar to the original DPP.

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Keywords

1 community
 
16 eligible adults
 
7% weight loss goal
 
adapted group-based DPP lifestyle intervention
 
adapted group-based version
 
average weight loss
 
Diabetes Prevention Program's
 
DPP lifestyle intervention
 
following risk factors
 
infant >9 pounds
 
Montana Department
 
on-site group
 
participant greater
 
primary care physician
 
remote frontier community
 
second group
 
telehealth participants
 
telehealth video conferencing
 
weekly physical activity
 
weight loss outcomes
 

Liane M Vadheim