Results From a Trial of an Online Diabetes Prevention Program Intervention.

Published

Journal Article

INTRODUCTION: Online Diabetes Prevention Programs (DPPs) can be scaled up and delivered broadly. However, little is known about real-world effectiveness and how outcomes compare with in-person DPP. This study examined online DPP weight loss and participation outcomes and secondarily compared outcomes among participating individuals with parallel in-person interventions. STUDY DESIGN: A large non-randomized trial supplemented by a comparative analysis of participating individuals from a concurrent trial of two parallel in-person programs: in-person DPP and the Veterans Administration's standard of care weight loss program (MOVE!). SETTING/PARTICIPANTS: Obese/overweight Veterans with prediabetes enrolled in online DPP (n = 268) between 2013 and 2014. Similar eligibility criteria were used to enroll in-person participants between 2012 and 2014 (n = 273 in-person DPP, n = 114 MOVE!) within a separate trial. INTERVENTION: Online DPP included a virtual group format, live e-coach, weekly modules delivered asynchronously, and wireless home scales. In-person programs included eight to 22 group-based, face-to-face sessions. MAIN OUTCOMES MEASURES: Weight change at 6 and 12 months using wirelessly uploaded home scale data or electronic medical record weights from clinical in-person visits. Outcomes were analyzed between 2015 and 2017. RESULTS: From 1,182 invitations, 268 (23%) participants enrolled in online DPP. Among these, 158 (56%) completed eight or more modules; mean weight change was -4.7kg at 6 months and -4.0kg at 12 months. In a supplemental analysis of participants completing one or more sessions/modules, online DPP participants were most likely to complete eight or more sessions/modules (87% online DPP vs 59% in-person DPP vs 55% MOVE!, p < 0.001). Online and in-person DPP participants lost significantly more weight than MOVE! participants at 6 and 12 months; there was no significant difference in weight change between online and in-person DPP. CONCLUSIONS: An intensive, multifaceted online DPP intervention had higher participation but similar weight loss compared to in-person DPP. An intensive, multifaceted online DPP intervention may be as effective as in-person DPP and help expand reach to those at risk.

Full Text

Duke Authors

Cited Authors

  • Moin, T; Damschroder, LJ; AuYoung, M; Maciejewski, ML; Havens, K; Ertl, K; Vasti, E; Weinreb, JE; Steinle, NI; Billington, CJ; Hughes, M; Makki, F; Youles, B; Holleman, RG; Kim, HM; Kinsinger, LS; Richardson, CR

Published Date

  • November 2018

Published In

Volume / Issue

  • 55 / 5

Start / End Page

  • 583 - 591

PubMed ID

  • 30262149

Pubmed Central ID

  • 30262149

Electronic International Standard Serial Number (EISSN)

  • 1873-2607

Digital Object Identifier (DOI)

  • 10.1016/j.amepre.2018.06.028

Language

  • eng

Conference Location

  • Netherlands