TY - JOUR
T1 - BRInging the Diabetes prevention program to GEriatric populations (BRIDGE)
T2 - A feasibility study
AU - Beasley, Jeannette M.
AU - Kirshner, Lindsey
AU - Wylie-Rosett, Judith
AU - Sevick, Mary Ann
AU - Deluca, Laura
AU - Chodosh, Joshua
N1 - Publisher Copyright:
© 2019 The Author(s).
PY - 2019/1/5
Y1 - 2019/1/5
N2 - BACKGROUND: The purpose of this 6-week intervention was to test the feasibility and acceptability of implementing a telehealth-adapted Diabetes Prevention Program (DPP) at a senior center.METHODS: Older adults (
n = 16) attended weekly interactive webinars. At each measurement time point, participants completed questionnaires covering lifestyle, physical activity, quality of life, and food records and wore physical activity trackers. Qualitative data were gathered from 2 focus groups inviting all 16 participants with 13 and 10 participants attending, respectively.
RESULTS: Over 2000 senior center members were contacted, approximately 2% (
n = 39) responded to the recruitment email, and 16 were recruited into the study. Retention was 75%, and attendance rates averaged 80% across the six intervention sessions. The focus group participants provided positive opinions for most program components, especially the webinar group interaction and using physical activity trackers. Suggestions for improvement included a greater focus on specific needs of older adults (i.e., adapting activities) and placing a greater emphasis on dietary strategies to prevent diabetes. Mean weight loss was 2.9% (2.7 kg [95% CI 1.6, 3.7];
p value = 0.001).
CONCLUSION: The feasibility of providing DPP via webinar appears to be high based on the retention and attendance rates. Similar to other behavioral interventions engaging older adults, recruitment rates were low. Acceptability was evidenced by high attendance at the intervention sessions and feedback from participants during focus group sessions. The intervention efficacy should be evaluated based on CDC criteria for program recognition in a larger scale randomized trial.TRIAL REGISTRATION: NCT03524404. Registered 14 May 2018-retrospectively registered. Trial protocol will be provided by the corresponding author upon request.
AB - BACKGROUND: The purpose of this 6-week intervention was to test the feasibility and acceptability of implementing a telehealth-adapted Diabetes Prevention Program (DPP) at a senior center.METHODS: Older adults (
n = 16) attended weekly interactive webinars. At each measurement time point, participants completed questionnaires covering lifestyle, physical activity, quality of life, and food records and wore physical activity trackers. Qualitative data were gathered from 2 focus groups inviting all 16 participants with 13 and 10 participants attending, respectively.
RESULTS: Over 2000 senior center members were contacted, approximately 2% (
n = 39) responded to the recruitment email, and 16 were recruited into the study. Retention was 75%, and attendance rates averaged 80% across the six intervention sessions. The focus group participants provided positive opinions for most program components, especially the webinar group interaction and using physical activity trackers. Suggestions for improvement included a greater focus on specific needs of older adults (i.e., adapting activities) and placing a greater emphasis on dietary strategies to prevent diabetes. Mean weight loss was 2.9% (2.7 kg [95% CI 1.6, 3.7];
p value = 0.001).
CONCLUSION: The feasibility of providing DPP via webinar appears to be high based on the retention and attendance rates. Similar to other behavioral interventions engaging older adults, recruitment rates were low. Acceptability was evidenced by high attendance at the intervention sessions and feedback from participants during focus group sessions. The intervention efficacy should be evaluated based on CDC criteria for program recognition in a larger scale randomized trial.TRIAL REGISTRATION: NCT03524404. Registered 14 May 2018-retrospectively registered. Trial protocol will be provided by the corresponding author upon request.
KW - Aging
KW - Diabetes Prevention Program
KW - Energy balance
KW - Nutrition
KW - Physical activity
KW - Technology
KW - Translation of evidence-based interventions
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U2 - 10.1186/s40814-019-0513-7
DO - 10.1186/s40814-019-0513-7
M3 - Article
C2 - 31741744
AN - SCOPUS:85075123452
SN - 2055-5784
VL - 5
JO - Pilot and Feasibility Studies
JF - Pilot and Feasibility Studies
IS - 1
M1 - 129
ER -