A Coordinated National Model for Diabetes Prevention
Abstract
Background Twenty-six million U.S. adults have diabetes, and 79 million have prediabetes. A 2002 Diabetes Prevention Program research study proved the effectiveness of a lifestyle intervention that yielded a 58% reduction in conversion to type 2 diabetes. However, cost per participant was high, complicating efforts to scale up the program. Purpose UnitedHealth Group (UHG) and the YMCA of the USA, in collaboration with the CDC, sought to develop the infrastructure and business case to scale the congressionally authorized National Diabetes Prevention Program nationwide. Emphasis was placed on developing a model that maintained fidelity to the original 2002 Diabetes Prevention Program research study and could be deployed for a lower cost per participant while yielding similar outcomes. Design The UHG created the business case and technical and operational infrastructure necessary for nationwide dissemination of the YMCA's Diabetes Prevention Program (YMCA's DPP), as part of the National Diabetes Prevention Program. The YMCA's DPP is a group-based model of 16 core sessions with monthly follow-up delivered by trained lifestyle coaches. Setting/participants A variety of mechanisms were used to identify, screen, and encourage enrollment for people with prediabetes into the YMCA's DPP. Intervention Substantial investments were made in relationship building, business planning, technology, development, and operational design to deliver an effective and affordable 12-month program. The…
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The findings challenge the current practice of reimbursement based on a threshold of 5% weight loss from baseline.
“This challenges the current practice of reimbursement based on a threshold of 5% weight loss from baseline (36).”
From Global diabetes prevention interventions: A systematic review and network meta-analysis of the real-world impact on incidence, weight, and glucose (2018) · cites this paper as [36]
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H, D. B. M. P., Ruscitti, B., Zhu, S., Lee, R., & Nguyen, T. (2026) · Journal of Prevention · doi:10.1007/s10935-026-00949-z
- Authors
- Vojta, D., Koehler, T. B., Longjohn, M., Lever, J. A., & Caputo, N. F.
- Affiliations
- UnitedHealth Group (United States) (US)
- Northwestern University (US)
- ORCID
- Vojta, Deneen
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 44
- Issue
- 4
- Pages
- S301-S306
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W191325000
- Cited by
- 87
- References
- 14
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 9 · 2019: 8 · 2018: 8 · 2017: 11 · 2016: 10 · 2015: 13 · 2014: 6 · 2013: 2
- FWCI
- 8.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- diabetes prevention, prediabetes, National Diabetes Prevention Program, Diabetes Prevention Program, lifestyle intervention, type 2 diabetes prevention, program scaling, cost per participant, weight loss, community-based delivery, health information technology, healthcare cost reduction, UnitedHealth Group, YMCA, implementation fidelity
- MeSH terms
- Adult, Community Health Services, Cooperative Behavior, Delivery of Health Care, Diabetes Mellitus, Type 2, Female, Follow-Up Studies, Humans, Life Style, Male, Mass Screening, Medical Informatics, Middle Aged, Models, Theoretical, Patient Acceptance of Health Care, Prediabetic State, United States, Health Care Costs, Outcome Assessment, Health Care, Evidence-Based Medicine
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