Accepted for/Published in: JMIR Formative Research
Date Submitted: Dec 12, 2022
Date Accepted: Jul 24, 2023
Adapting the Diabetes Prevention Program for Older Adults: A Descriptive Study
ABSTRACT
Background:
Prediabetes affects 26.4 million people (48.8%) aged 65 or older in the United States. Although older adults respond well to the evidence-based Diabetes Prevention Program (DPP), they are a heterogeneous group with differing physiological, biomedical, and psychosocial needs that can benefit from additional supports to accommodate age-related changes in sensory and motor function.
Objective:
The purpose of this paper is to describe adaptations of the Centers for Disease Control and Prevention’s DPP aimed at preventing diabetes amongst older adults (ages 65+) and findings from a pilot of two virtual sessions of the adapted DPP that evaluated acceptability of the content.
Methods:
The research team adapted the DPP by incorporating additional resources necessary for older adults. A certified DPP lifestyle coach delivered two sessions of the adapted content via videoconference to 189 older adults.
Results:
The first session (n=109) had a 35% response rate to the survey, and the second (n=88) had a 38% response rate. Two-thirds (68%) of respondents strongly agreed that they liked the program, with 62% agreeing they would recommend it to a family member or a friend.
Conclusions:
This data will be used to inform intervention delivery in a randomized, controlled trial comparing in person versus virtual delivery of the adapted DPP. Clinical Trial: These materials were adapted for implementation in the BRInging the Diabetes Prevention Program to GEriatric Populations (BRIDGE) trial registered with ClinicalTrials.gov (NCT05166785), More information is available at: https://clinicaltrials.gov/ct2/show/NCT05166785?term=Beasley&draw=3&rank=11
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