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Communicating personalized risk of diabetes and offering weight reduction program choice: Recruitment, participation, and outcomes.

Abstract：

OBJECTIVE:Low patient recruitment into diabetes prevention programs is a challenge. The primary aim of this study was to demonstrate that an increased recruitment rate can be achieved by communicating personalized risk of progression to type 2 diabetes, estimating risk reduction with weight loss, and offering program choice. Secondary aims included program participation rate, weight loss, and short-term decreased diabetes risk. METHODS:In this single-arm study, persons with prediabetes from 3 primary care sites received a letter that communicated their personalized risk of progression to diabetes within 3-years, estimated risk reduction with 5, 10, 15 % weight loss, reported in pounds, and offered a choice of 5 free, 6-month, programs. A one-sided test was used to compare the recruitment rate against the maximum expected rate of (10 %). RESULTS:Recruitment response rate was 25.3 % (81/328, 95 % CI=[20.0 %, 29.4 %]) which was significantly higher than expected (p < 0.0001). Overall, 65 % of participants completed >75 % of contacts. BMI, HbA1c, and diabetes risk (all p < 0.0001) improved at 6 months; BMI (p < 0.0001) and HbA1c (p < 0.05) improved at 12 months. CONCLUSION:Recruitment response rate was better than expected. PRACTICE IMPLICATIONS:Communicating personalized risk and reduction estimates with a choice of programs resulted in favorable outcomes, sustained at 1-year.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Bailey-Davis L,Wood GC,Cook A,Cunningham K,Jamieson S,Mowery J,Naylor A,Rolston DD,Seiler C,Still CD

doi

10.1016/j.pec.2020.10.017

subject

Has Abstract

pub_date

2020-10-12 00:00:00

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(20)30552-8

pub_type

杂志文章

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