Reach, engagement and effectiveness of in-person and online lifestyle change programs to prevent diabetes

Autor: Sandeep Wadhwa, Iryna Lobach, Ronli Levi, Hilary K. Seligman, Lois Fisher, Byron Crowe, Ilya Golovaty
Rok vydání: 2021
Předmět:
Adult
Comparative Effectiveness Research
medicine.medical_specialty
Colorado
Clinical Trials and Supportive Activities
030209 endocrinology & metabolism
Digital
Logistic regression
Virtual
03 medical and health sciences
0302 clinical medicine
Clinical Research
Weight loss
Epidemiology
Health care
Diabetes Mellitus
medicine
Humans
030212 general & internal medicine
Lifestyle change programs
Life Style
Metabolic and endocrine
Diabetes prevention programs
SARS-CoV-2
business.industry
Prevention
Public health
Social distance
Public Health
Environmental and Occupational Health
Attendance
COVID-19
Weight Reduction Programs
Good Health and Well Being
Diabetes Mellitus
Type 2
LCP
Florida
Public Health and Health Services
Physical therapy
Public Health
Public aspects of medicine
RA1-1270
medicine.symptom
Biostatistics
business
Type 2
Research Article
DPP
Zdroj: BMC public health, vol 21, iss 1
BMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021)
BMC Public Health
ISSN: 1471-2458
Popis: Background COVID-19 has accelerated interest in and need for online delivery of healthcare. We examined the reach, engagement and effectiveness of online delivery of lifestyle change programs (LCP) modelled after the Diabetes Prevention Program (DPP) in a multistate, real-world setting. Methods Longitudinal, non-randomized study comparing online and in-person LCP in a large multistate sample delivered over 1 year. Sample included at-risk adults (n = 26,743) referred to online (n = 9) and in-person (n = 11) CDC-recognized LCP from a multi-state registry (California, Florida and Colorado) between 2015 and 2018. The main outcome was effectiveness (proportion achieving > 5% weight loss) at one-year. Our secondary outcomes included reach (proportion enrolled among referred) and engagement (proportion ≥ 9 sessions by week 26). We used logistic regression modelling to assess the association between participant- and setting -level characteristics with meaningful weight loss. Results Online LCP effectiveness was lower, with 23% of online participants achieving > 5% weight loss, compared with 35% of in-person participants (p p p Conclusions Compared to adults referred to in-person LCP, those referred to online LCP were more likely to enroll and less likely to engage. Online participants achieved modest meaningful weight loss. Online delivery of LCP is an attractive strategy to deliver and scale DPP, particularly with social distancing measures currently in place. However, it is unclear how to optimize delivery models for maximal impact given trade-offs in reach and effectiveness.
Databáze: OpenAIRE
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