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Diabetes Care. 2018 Dec;41(12):2644-2647. doi: 10.2337/dc18-1141. Epub 2018 Oct 30.

Older Adults and Diabetes Prevention Programs in the Veterans Health Administration.

Author information

1
Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI pearllee@med.umich.edu.
2
Geriatric Research Education and Clinical Center (GRECC), Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI.
3
Personalizing Options through Veteran Engagement (PROVE) Quality Enhancement Research Initiative (QUERI) Program, Ann Arbor Veterans Affairs Center for Clinical Management Research, Ann Arbor, MI.
4
Department of Medicine, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA.
5
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA.
6
VA Health Services Research and Development (HSR&D) Center for Healthcare Innovation, Implementation and Policy, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA.
7
Department of Family Medicine, University of Michigan, Ann Arbor, MI.

Abstract

OBJECTIVE:

To investigate whether older veterans enrolled in two diabetes prevention programs (DPPs) in the Veterans Health Administration will have similar weight loss as younger veterans.

RESEARCH DESIGN AND METHODS:

Post hoc analysis of data from two prospective, pragmatic, nonrandomized studies of behavioral weight management interventions that were delivered in-person (Department of Veterans Affairs [VA]-DPP) or online (Online-DPP), comparing participation and weight loss between participants aged ≥65 years (N = 120) vs. <65 years (N = 258).

RESULTS:

Over 70% of participants in both age groups completed eight or more sessions within 6 months; a higher proportion completed eight or more sessions in the Online-DPP intervention than in the VA-DPP intervention (P < 0.05). The overall weight changes at 6 and 12 months were similar across the two age groups: ∼5 kg or 5% weight loss compared with baseline (P > 0.05).

CONCLUSIONS:

DPPs delivered in person or online can be similarly effective in older and younger veterans. Online programs may be an important means to improve the reach of DPPs for older adults.

PMID:
30377187
PMCID:
PMC6245214
[Available on 2019-12-01]
DOI:
10.2337/dc18-1141

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