Cited by 139Diabetes Management and EducationMobile Health and mHealth ApplicationsDiabetes, Cardiovascular Risks, and Lipoproteins

Translating the Diabetes Prevention Program into an Online Social Network: Validation against CDC Standards

Open access
Sepah, S. Cameron, Jiang, Luohua, Peters, Anne L.·2014·The Diabetes Educator

Abstract

Purpose: The purpose of this study was to evaluate the efficacy of Prevent, an online social network-based translation of the Diabetes Prevention Program (DPP) lifestyle intervention, against the Centers for Disease Control and Prevention (CDC) Diabetes Prevention and Recognition Program (DPRP) outcome standards and weight loss outcomes of other DPP translations. Methods: Two hundred twenty participants previously diagnosed with prediabetes were recruited online and enrolled in Prevent, a DPP-based group lifestyle intervention that integrates a private online social network, weekly lessons, health coaching, and a wireless scale and pedometer. Participants underwent a core 16-week intensive lifestyle change intervention and were then offered to continue with a post-core lifestyle change maintenance intervention, with the entire intervention (core plus post-core) totaling 12 months. Results: One hundred eighty-seven participants met inclusion criteria for the core program and achieved an average of 5.0% and 4.8% weight loss at 16 weeks and 12 months, respectively. They also had a 0.37% reduction in their A1C level at final measurement. One hundred forty-four of these same participants also met inclusion criteria for the post-core program and achieved an average of 5.4% and 5.2% weight loss at 16 weeks and 12 months, respectively, and a 0.40% reduction in A1C at final measurement. Conclusion: Results indicate that Prevent meets CDC DPRP outcome standards for diabetes prevention programs and performs favorably to other DPP translations. Considering national initiatives to address the obesity and diabetes epidemics, online delivery platforms like Prevent offer an effective and scalable solution.

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  • Among the general adult population with either prediabetes or CVD risk factors, this digital IBC reduced average body weight approximately 4-6% and reduced average hemoglobin A1c levels approximately 0.4%.

    “Among the general adult population with either prediabetes or CVD risk factors, this IBC reduced average body weight approximately 4–6% (depending on level of program participation and demographics of the participants) and reduced average hemoglobin A1c levels approximately 0.4% [13,15].”

    From Clinical and Economic Impact of a Digital, Remotely-Delivered Intensive Behavioral Counseling Program on Medicare Beneficiaries at Risk for Diabetes and Cardiovascular Disease (2016) · cites this paper as [15]

    The Results section (page unavailable) reports approximately 5% weight loss and 0.37–0.40 percentage-point reductions in A1C among participants in the online Prevent program. The Participants section (page unavailable) says recruitment sought adults with a recent prediabetes diagnosis; this paper does not establish those outcomes for adults enrolled on the basis of CVD risk factors alone. (LLM, conf=0.88)

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  • Previous work has found that IBC intervention, including NDPP, among overweight and obese adults with prediabetes and CVD risk factors can improve clinical measures, prevent or delay disease onset, reduce medical expenditures, and increase productivity.

    “Previous work has found that IBC intervention, including NDPP, among overweight and obese adults with prediabetes and CVD risk factors can improve clinical measures, prevent or delay disease onset, reduce medical expenditures, and increase productivity (in the form of higher labor force participation and lower work absenteeism) [1–6,13–15,19].”

    From Clinical and Economic Impact of a Digital, Remotely-Delivered Intensive Behavioral Counseling Program on Medicare Beneficiaries at Risk for Diabetes and Cardiovascular Disease (2016) · cites this paper as [15]

    The Conclusion (page unavailable) reports that DPP lifestyle interventions reduced diabetes onset and that reviews found them cost-saving; the Conclusion and Implications reports improved weight and A1C in this online DPP adaptation. The cited paper does not report higher labor-force participation or lower absenteeism, and its online pilot did not measure disease onset or medical expenditures. (LLM, conf=0.88)

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  • A digital, remotely-delivered IBC program that is an enhanced version of the original NDPP demonstrated clinical efficacy.

    “A digital, remotely-delivered IBC program that is an enhanced version of the original NDPP demonstrated clinical efficacy [13–16].”
  • Some online programs aim to treat prediabetes and prevent progression to diabetes, often following the Diabetes Prevention Program model.

    “Some programs aim to treat prediabetes and prevent progression to diabetes, often following the model of the Diabetes Prevention Program (264,265).”

    From 7. Diabetes Technology: Standards of Care in Diabetes—2025 (2025) · cites this paper as [264]

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Research works printed but not linked: 2

  1. Centers for Disease Control and Prevention. Awareness of prediabetes-United States, 2005- 2010. MMWR Morb Mortal Wkly Rep. 2013;62:209-212.
  2. Diabetes Prevention Program Research Group. The 10-year costeffectiveness of lifestyle intervention or metformin for diabetes prevention: an intent-to-treat analysis of the DPP/DPPOS. Diabetes Care. 2012;35(4):723-730.

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Authors
Sepah, S. C., Jiang, L., & Peters, A. L.
Affiliations
University of Southern California (US)
Venue
The Diabetes Educator
Published
2014-04-10
Volume
40
Issue
4
Pages
435-443
ISSN
  • 0145-7217 (ISSN-L)
  • 1554-6063
OpenAlex
W2051112888
Cited by
139
References
18
Citations by year
2026: 3 · 2025: 2 · 2024: 14 · 2023: 11 · 2022: 20 · 2021: 11 · 2020: 11 · 2019: 9 · 2018: 13 · 2017: 24 · 2016: 14 · 2015: 7
FWCI
12.06
Type
journal article
Language
en
Open access
Locations
  • The Science of Diabetes Self-Management and Care (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
Centers for Disease Control and Prevention
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
Diabetes Prevention Program, prediabetes, lifestyle intervention, weight loss, HbA1c reduction, health coaching, pedometers, diabetes prevention
MeSH terms
Adult, Behavior Therapy, Centers for Disease Control and Prevention, U.S., Diabetes Mellitus, Type 2, Female, Health Promotion, Glycated Hemoglobin, Humans, Life Style, Male, Middle Aged, Prediabetic State, Risk Factors, Social Support, Translations, United States, Program Evaluation, Weight Loss, Telemedicine, Risk Reduction Behavior, Non-Randomized Controlled Trials as Topic

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