Translating the diabetes prevention program into a hospital-based weight loss program

被引：59

作者：

Pagoto, Sherry L. ^{[1
]}

Kantor, Lyle ^{[1
]}

Bodenlos, Jamie S. ^{[1
]}

Gitkind, Mitchell ^{[2
]}

Ma, Yunsheng ^{[1
]}

机构：

[1] Univ Massachusetts, Dept Med, Div Prevent & Behav Med, Sch Med, Amherst, MA 01003 USA

[2] Univ Massachusetts, Sch Med, Dept Surg, Amherst, MA 01003 USA

来源：

HEALTH PSYCHOLOGY | 2008年 / 27卷 / 01期

关键词：

weight loss; lifestyle; translational research; adoption; diffusion of innovations;

D O I：

10.1037/0278-6133.27.1.S91

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: Intensive lifestyle interventions have established efficacy, but translation to real-world settings has not been well demonstrated. Using the diffusion of innovations model, we describe the adoption of the Diabetes Prevention Program (DPP) Lifestyle Intervention into a hospital-based program and report feasibility, acceptability, and outcomes. Design: Patients (N = 118; 72% female, mean age = 48.8, mean baseline body mass index = 43.3) were enrolled into 16 weeks of DPP. Main Outcome Measure: Weight loss (kg) was measured at baseline and after treatment. Results: Mean weight loss after 16 weeks was 5.57 kg (SD = 4.6) or 4.6% of baseline weight, and 30% met the 7% weight loss goal. Outcomes are compared with those reported in the DPP trial. Most participants (90.4%) were satisfied with the service; however, only 56% were satisfied with their weight loss. Conclusion: The DPP was successfully translated into a real-world clinic with some protocol modifications. Weight loss was modest among heavier patients with more comorbidities than the original DPP sample. Diffusion of innovations theory provides a useful framework for adopting evidence-based programs in the clinical setting.

引用

页码：S91 / S98

页数：8