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 |
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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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