Results From a Trial of an Online Diabetes Prevention Program Intervention

Tannaz Moin, Laura J. Damschroder, Mona AuYoung, Matthew L. Maciejewski, Kathryn Havens, Kristyn Ertl, Elena Vasti, Jane E. Weinreb, Nanette I. Steinle, Charles J Billington, Maria Hughes, Fatima Makki, Bradley Youles, Robert G. Holleman, H. Myra Kim, Linda S. Kinsinger, Caroline R. Richardson

Research output: Contribution to journalArticle

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Abstract

Introduction: Online Diabetes Prevention Programs (DPPs) can be scaled up and delivered broadly. However, little is known about real-world effectiveness and how outcomes compare with in-person DPP. This study examined online DPP weight loss and participation outcomes and secondarily compared outcomes among participating individuals with parallel in-person interventions. Study design: A large non-randomized trial supplemented by a comparative analysis of participating individuals from a concurrent trial of two parallel in-person programs: in-person DPP and the Veterans Administration's standard of care weight loss program (MOVE!). Setting/participants: Obese/overweight Veterans with prediabetes enrolled in online DPP (n = 268) between 2013 and 2014. Similar eligibility criteria were used to enroll in-person participants between 2012 and 2014 (n = 273 in-person DPP, n = 114 MOVE!) within a separate trial. Intervention: Online DPP included a virtual group format, live e-coach, weekly modules delivered asynchronously, and wireless home scales. In-person programs included eight to 22 group-based, face-to-face sessions. Main outcomes measures: Weight change at 6 and 12 months using wirelessly uploaded home scale data or electronic medical record weights from clinical in-person visits. Outcomes were analyzed between 2015 and 2017. Results: From 1,182 invitations, 268 (23%) participants enrolled in online DPP. Among these, 158 (56%) completed eight or more modules; mean weight change was –4.7 kg at 6 months and –4.0 kg at 12 months. In a supplemental analysis of participants completing one or more sessions/modules, online DPP participants were most likely to complete eight or more sessions/modules (87% online DPP vs 59% in-person DPP vs 55% MOVE!, p < 0.001). Online and in-person DPP participants lost significantly more weight than MOVE! participants at 6 and 12 months; there was no significant difference in weight change between online and in-person DPP. Conclusions: An intensive, multifaceted online DPP intervention had higher participation but similar weight loss compared to in-person DPP. An intensive, multifaceted online DPP intervention may be as effective as in-person DPP and help expand reach to those at risk.

Original languageEnglish (US)
Pages (from-to)583-591
Number of pages9
JournalAmerican journal of preventive medicine
Volume55
Issue number5
DOIs
StatePublished - Nov 1 2018

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Weights and Measures
Weight Reduction Programs
Prediabetic State
United States Department of Veterans Affairs
Electronic Health Records
Veterans
Standard of Care
Weight Loss
Outcome Assessment (Health Care)

PubMed: MeSH publication types

  • Journal Article

Cite this

Moin, T., Damschroder, L. J., AuYoung, M., Maciejewski, M. L., Havens, K., Ertl, K., ... Richardson, C. R. (2018). Results From a Trial of an Online Diabetes Prevention Program Intervention. American journal of preventive medicine, 55(5), 583-591. https://doi.org/10.1016/j.amepre.2018.06.028

Results From a Trial of an Online Diabetes Prevention Program Intervention. / Moin, Tannaz; Damschroder, Laura J.; AuYoung, Mona; Maciejewski, Matthew L.; Havens, Kathryn; Ertl, Kristyn; Vasti, Elena; Weinreb, Jane E.; Steinle, Nanette I.; Billington, Charles J; Hughes, Maria; Makki, Fatima; Youles, Bradley; Holleman, Robert G.; Kim, H. Myra; Kinsinger, Linda S.; Richardson, Caroline R.

In: American journal of preventive medicine, Vol. 55, No. 5, 01.11.2018, p. 583-591.

Research output: Contribution to journalArticle

Moin, T, Damschroder, LJ, AuYoung, M, Maciejewski, ML, Havens, K, Ertl, K, Vasti, E, Weinreb, JE, Steinle, NI, Billington, CJ, Hughes, M, Makki, F, Youles, B, Holleman, RG, Kim, HM, Kinsinger, LS & Richardson, CR 2018, 'Results From a Trial of an Online Diabetes Prevention Program Intervention', American journal of preventive medicine, vol. 55, no. 5, pp. 583-591. https://doi.org/10.1016/j.amepre.2018.06.028
Moin T, Damschroder LJ, AuYoung M, Maciejewski ML, Havens K, Ertl K et al. Results From a Trial of an Online Diabetes Prevention Program Intervention. American journal of preventive medicine. 2018 Nov 1;55(5):583-591. https://doi.org/10.1016/j.amepre.2018.06.028
Moin, Tannaz ; Damschroder, Laura J. ; AuYoung, Mona ; Maciejewski, Matthew L. ; Havens, Kathryn ; Ertl, Kristyn ; Vasti, Elena ; Weinreb, Jane E. ; Steinle, Nanette I. ; Billington, Charles J ; Hughes, Maria ; Makki, Fatima ; Youles, Bradley ; Holleman, Robert G. ; Kim, H. Myra ; Kinsinger, Linda S. ; Richardson, Caroline R. / Results From a Trial of an Online Diabetes Prevention Program Intervention. In: American journal of preventive medicine. 2018 ; Vol. 55, No. 5. pp. 583-591.
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abstract = "Introduction: Online Diabetes Prevention Programs (DPPs) can be scaled up and delivered broadly. However, little is known about real-world effectiveness and how outcomes compare with in-person DPP. This study examined online DPP weight loss and participation outcomes and secondarily compared outcomes among participating individuals with parallel in-person interventions. Study design: A large non-randomized trial supplemented by a comparative analysis of participating individuals from a concurrent trial of two parallel in-person programs: in-person DPP and the Veterans Administration's standard of care weight loss program (MOVE!). Setting/participants: Obese/overweight Veterans with prediabetes enrolled in online DPP (n = 268) between 2013 and 2014. Similar eligibility criteria were used to enroll in-person participants between 2012 and 2014 (n = 273 in-person DPP, n = 114 MOVE!) within a separate trial. Intervention: Online DPP included a virtual group format, live e-coach, weekly modules delivered asynchronously, and wireless home scales. In-person programs included eight to 22 group-based, face-to-face sessions. Main outcomes measures: Weight change at 6 and 12 months using wirelessly uploaded home scale data or electronic medical record weights from clinical in-person visits. Outcomes were analyzed between 2015 and 2017. Results: From 1,182 invitations, 268 (23{\%}) participants enrolled in online DPP. Among these, 158 (56{\%}) completed eight or more modules; mean weight change was –4.7 kg at 6 months and –4.0 kg at 12 months. In a supplemental analysis of participants completing one or more sessions/modules, online DPP participants were most likely to complete eight or more sessions/modules (87{\%} online DPP vs 59{\%} in-person DPP vs 55{\%} MOVE!, p < 0.001). Online and in-person DPP participants lost significantly more weight than MOVE! participants at 6 and 12 months; there was no significant difference in weight change between online and in-person DPP. Conclusions: An intensive, multifaceted online DPP intervention had higher participation but similar weight loss compared to in-person DPP. An intensive, multifaceted online DPP intervention may be as effective as in-person DPP and help expand reach to those at risk.",
author = "Tannaz Moin and Damschroder, {Laura J.} and Mona AuYoung and Maciejewski, {Matthew L.} and Kathryn Havens and Kristyn Ertl and Elena Vasti and Weinreb, {Jane E.} and Steinle, {Nanette I.} and Billington, {Charles J} and Maria Hughes and Fatima Makki and Bradley Youles and Holleman, {Robert G.} and Kim, {H. Myra} and Kinsinger, {Linda S.} and Richardson, {Caroline R.}",
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AU - Moin, Tannaz

AU - Damschroder, Laura J.

AU - AuYoung, Mona

AU - Maciejewski, Matthew L.

AU - Havens, Kathryn

AU - Ertl, Kristyn

AU - Vasti, Elena

AU - Weinreb, Jane E.

AU - Steinle, Nanette I.

AU - Billington, Charles J

AU - Hughes, Maria

AU - Makki, Fatima

AU - Youles, Bradley

AU - Holleman, Robert G.

AU - Kim, H. Myra

AU - Kinsinger, Linda S.

AU - Richardson, Caroline R.

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N2 - Introduction: Online Diabetes Prevention Programs (DPPs) can be scaled up and delivered broadly. However, little is known about real-world effectiveness and how outcomes compare with in-person DPP. This study examined online DPP weight loss and participation outcomes and secondarily compared outcomes among participating individuals with parallel in-person interventions. Study design: A large non-randomized trial supplemented by a comparative analysis of participating individuals from a concurrent trial of two parallel in-person programs: in-person DPP and the Veterans Administration's standard of care weight loss program (MOVE!). Setting/participants: Obese/overweight Veterans with prediabetes enrolled in online DPP (n = 268) between 2013 and 2014. Similar eligibility criteria were used to enroll in-person participants between 2012 and 2014 (n = 273 in-person DPP, n = 114 MOVE!) within a separate trial. Intervention: Online DPP included a virtual group format, live e-coach, weekly modules delivered asynchronously, and wireless home scales. In-person programs included eight to 22 group-based, face-to-face sessions. Main outcomes measures: Weight change at 6 and 12 months using wirelessly uploaded home scale data or electronic medical record weights from clinical in-person visits. Outcomes were analyzed between 2015 and 2017. Results: From 1,182 invitations, 268 (23%) participants enrolled in online DPP. Among these, 158 (56%) completed eight or more modules; mean weight change was –4.7 kg at 6 months and –4.0 kg at 12 months. In a supplemental analysis of participants completing one or more sessions/modules, online DPP participants were most likely to complete eight or more sessions/modules (87% online DPP vs 59% in-person DPP vs 55% MOVE!, p < 0.001). Online and in-person DPP participants lost significantly more weight than MOVE! participants at 6 and 12 months; there was no significant difference in weight change between online and in-person DPP. Conclusions: An intensive, multifaceted online DPP intervention had higher participation but similar weight loss compared to in-person DPP. An intensive, multifaceted online DPP intervention may be as effective as in-person DPP and help expand reach to those at risk.

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