Delivering the National Diabetes Prevention Program: assessment of outcomes in in-person and virtual organizations.
Open accessAbstract
The Centers for Disease Control and Prevention’s Diabetes Prevention Recognition Program (DPRP) has helped organizations deliver the National Diabetes Prevention Program (National DPP) lifestyle change program for over 10 years. Four delivery modes are now approved: in person, online (self-paced, asynchronous delivery), distance learning (remote, synchronous delivery), and combination (hybrid delivery using more than one delivery mode). We assessed outcomes using data from 333,715 participants who started the 12-month program between January 1, 2012, and December 31, 2018. The average number of sessions attended was highest for in-person participants (15.0), followed by online (12.9), distance learning (12.2), and combination (10.7). The average number of weeks in the program was highest for in-person participants (28.1), followed by distance learning (20.1), online (18.7), and combination (18.6). The average difference between the first and last reported weekly physical activity minutes reflected an increase for in person (42.0), distance learning (27.1), and combination (15.0), but a decrease for online (-19.8). Among participants retained through session 6 or longer, average weekly physical activity minutes exceeded the program goal of 150 for all delivery modes. Average weight loss (percent of body weight) was greater for in person (4.4%) and distance learning (4.7%) than for online (2.6%) or combination (2.9%). Average participant weight loss increased gradually by session for all delivery modes; among participants who remained in the program for 22 sessions, average weight loss exceeded the program goal of 5% for all delivery modes. In summary, if participants stay in the program, most have positive program outcomes regardless of delivery mode; they have some outcome improvement even if they leave early; and their outcomes improve more the longer they stay. This highlights the benefits of better retention and increased enrollment in the National DPP lifestyle change programs, as well as enhancements to online delivery.
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In a study of more than 330 000 participants of the national DPP, there were similar rates of greater than or equal to 5% weight loss with in-person and distance learning formats (34.3% vs 37.2%).
“Ina study of more than 330 000 participants of the national DPP, there were similar rates of greater than or equal to 5% weight loss with in-person and distance learning formats (34.3% vs 37.2%) and, in the UK National Health Service DPP, synchronous remote delivery produced slightly greater weight loss than prepandemic in-person sessions (2.40 kg vs 2.01 kg).46,47”
From An AI-Powered Lifestyle Intervention vs Human Coaching in the Diabetes Prevention Program: A Randomized Clinical Trial (2025) · cites this paper as [46]
In the UK National Health Service DPP, synchronous remote delivery produced slightly greater weight loss than prepandemic in-person sessions (2.40 kg vs 2.01 kg).
“Ina study of more than 330 000 participants of the national DPP, there were similar rates of greater than or equal to 5% weight loss with in-person and distance learning formats (34.3% vs 37.2%) and, in the UK National Health Service DPP, synchronous remote delivery produced slightly greater weight loss than prepandemic in-person sessions (2.40 kg vs 2.01 kg).46,47”
From An AI-Powered Lifestyle Intervention vs Human Coaching in the Diabetes Prevention Program: A Randomized Clinical Trial (2025) · cites this paper as [46]
The Abstract identifies this as an analysis of the CDC’s National DPP, and Results §3.3 reports weight loss for its in-person and distance-learning groups. Our copy does not address the UK National Health Service DPP comparison or report 2.40 kg versus 2.01 kg; searches for those figures and the UK program found no matching passage. (LLM, conf=0.76)
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References 14 · Cited by 20
- Authors
- Ely, E. K., Ng, B. P., & Cannon, M. J.
- Affiliations
- Centers for Disease Control and Prevention (US)
- University of Central Florida (US)
- Corresponding author
- Ely, Elizabeth K.
- Venue
- Journal of Diabetes Research
- Publisher
- Wiley
- Published
- 2023-10-26
- Volume
- 2023
- Pages
- 1-11
- ISSN
- 2314-6745 (ISSN-L)
- 2314-6753
- PMC
- PMC10622599
- OpenAlex
- W4388201822
- Cited by
- 20
- References
- 14
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 5 · 2023: 1
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Diabetes Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Centers for Disease Control and Prevention
- 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 › Physiology › Physical Activity and Health
- Keywords
- National Diabetes Prevention Program, lifestyle modification program, mode of delivery, online delivery, distance education, physical activity, weight loss, participant retention, program attendance
- MeSH terms
- Body Weight, Diabetes Mellitus, Type 2, Humans, Life Style, Weight Loss, Exercise
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