Hind H. Neamah|Anne Sebert Kuhlmann|Rachel G. Tabak
Effectiveness of Program Modification Strategies of the Diabetes Prevention Program
Washington University in St. Louis|Saint Louis University|Washington University in St. Louis|Saint Louis University|Washington University in St. Louis|Saint Louis University
purpose purpose study review effectiveness commonly used program modifications classified cultural adaptation program translational strategies diabetes prevention program dpp terms risk reduction type 2 diabetes methods authors extracted data weight body mass index bmi 5 areas program modification strategies 28 interventions analyzed spss software bivariate analyses examined odds achieving significant reduction outcomes modification dpp presence maintenance component well mean reduction weight bmi versus fewer modifications presence maintenance component results statistically significant differences achieving significant reduction weight bmi type modification presence maintenance component programs fewer modifications reported significantly greater reduction mean weight 12 months postintervention furthest time point extracted programs maintenance component achieved significantly greater reduction mean weight measured furthest time point extracted conclusions dpp appears programmatically robust variety cultural adaptation translational strategies potentially costsaving modifications seem reduce effectiveness encourage implementation broader scale program planners however make efforts include maintenance components appear significantly reduce risk acquiring type 2 diabetes