Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Health Psychol. 2008 Jan;27(1 Suppl):S91-8. doi: 10.1037/0278-6133.27.1.S91.

Translating the diabetes prevention program into a hospital-based weight loss program.

Author information

  • 1Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, MA, USA. Sherry.pagoto@umassmed.edu

Abstract

OBJECTIVE:

Intensive lifestyle interventions have established efficacy, but translation to real-world settings has not been well demonstrated. Using the diffusion of innovations model, we describe the adoption of the Diabetes Prevention Program (DPP) Lifestyle Intervention into a hospital-based program and report feasibility, acceptability, and outcomes.

DESIGN:

Patients (N = 118; 72% female, mean age = 48.8, mean baseline body mass index = 43.3) were enrolled into 16 weeks of DPP.

MAIN OUTCOME MEASURE:

Weight loss (kg) was measured at baseline and after treatment.

RESULTS:

Mean weight loss after 16 weeks was 5.57 kg (SD = 4.6) or 4.6% of baseline weight, and 30% met the 7% weight loss goal. Outcomes are compared with those reported in the DPP trial. Most participants (90.4%) were satisfied with the service; however, only 56% were satisfied with their weight loss.

CONCLUSION:

The DPP was successfully translated into a real-world clinic with some protocol modifications. Weight loss was modest among heavier patients with more comorbidities than the original DPP sample. Diffusion of innovations theory provides a useful framework for adopting evidence-based programs in the clinical setting.

(Copyright) 2008 APA.

PMID:
18248110
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for American Psychological Association
    Loading ...
    Write to the Help Desk