Benefits of Participating With a Partner in the National Diabetes Prevention Program
Year: 2019
Type: article
Study design: Observational Study
Abstract: The evidence-based National Diabetes Prevention Program (NDPP) can reduce type 2 diabetes risks, although strategies to improve outcomes are needed. Attendance and weight loss are suboptimal, especially among racial/ethnic minorities, and men are underrepresented (1). Promoting participation with household members may be important given risk concordance (2,3) and benefits of partner/family support in diabetes management interventions (2). Less is known about the role of close others in diabetes prevention. Here, we examined whether engaging in the NDPP with a household member improves outcomes.
The NDPP was implemented in a safety net health care system following standard guidelines (4). During 2013–2017, 2,946 adults with diabetes risks (e.g., overweight/obesity, prediabetes) enrolled in classes, available in person at no cost, following outreach from NDPP coaches. Eligible patients were identified from medical records and provider and self-referrals. Individuals in the same class with a shared address were considered dyads. NDPP delivery was otherwise identical whether participants enrolled alone or with a household member. Outcomes included attending ≥1 session, percentage of sessions attended, duration, program completion (≥3 sessions attended in months 1–6 and duration ≥9 months), percent weight loss, and achieving ≥5% weight loss. t tests and χ2 analyses determined demographic differences …
Source: Diabetes Care
DOI: 10.2337/dc19-1489
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2991497444