A Feasibility Study to Develop a Diabetes Prevention Program for Young Adults With Prediabetes by Using Digital Platforms and a Handheld Device
Open accessAbstract
Purpose: The purpose of this pilot study was to examine the feasibility and preliminary efficacy of an age-specific diabetes prevention program in young adults with prediabetes. Methods: A one-group pretest-posttest design was used. The inclusion criteria were age 18 to 29 years and the presence of prediabetes (either impaired fasting glucose of 100-125 mg/dL [5.55-6.94 mmol/L] or A1C of 5.7%-6.4%). Fifteen participants were enrolled in the study. A technology-based lifestyle coaching program focused on diet and physical activity and incorporating a handheld device and digital platforms was developed and tested. Psychosocial factors (health literacy, illness perception, self-efficacy, therapeutic efficacy) based on social cognitive theory, changes in diet and physical activity, and cardiometabolic risk factors were assessed at baseline and week 12 after the intervention. A paired-samples t test was performed to examine changes between baseline and postintervention on each psychosocial and physical variable. Results: Participants’ (n = 13 completers) mean age was 24.4 ± 2.2 years, 23.1% were male, and 53.8% were African American. Overall, the participants were satisfied with the intervention (mean score, 4.15 on a 5-point, Likert-type scale). Between pre- and posttesting, mean body mass index and mean A1C decreased from 41.0 ± 7.3 kg/m 2 and 6.0 ± 0.5% to 40.1 ± 7.0 kg/m 2 and 5.6 ± 0.5%, respectively, whereas mean fasting glucose did not significantly change (from 92.6 ± 11 to 97.6 ± 14.3 mg/dL [5.14 ± 0.61 to 5.42 ± 0.79 mmol/L]). Conclusions: The intervention resulted in reduced A1C and a trend toward decreased body mass index in obese sedentary young adults with prediabetes after 12 weeks. Further study through a randomized clinical trial with a longer intervention period is warranted.
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Of 3 DCP studies on consumer experience, Cha et al and Potzel et al reported better experience outcomes for patients in the DHI groups, while Block et al showed no effect.
“Of the 3 (23.1%) studies reporting the effectiveness of DCP on consumer experience, Cha et al [48] and Potzel et al [44] reported better experience outcomes for patients in the DHI groups, while Block et al [5] showed no effect.”
From Digital Health Interventions to Prevent Type 2 Diabetes Mellitus: Systematic Review (2025) · cites this paper as [48]
The Results section on participant satisfaction (page unavailable) reports that participants rated the digital-platform intervention 4.15 out of 5 and described positive aspects of their experience. However, the Method > Study design section describes a one-group pretest–posttest study, so it cannot establish better consumer experience in a DHI group relative to another group. (LLM, conf=0.88)
Experimental — accuracy not yet measuredTM effects on consumer experience were varied: 5 (71.4%) studies reported positive effects, 1 (14.2%) no discernible effect, and 1 (14.2%) mixed effects.
“The effects of TM on consumer experience were varied, with 5 (71.4%) studies [39,44,48,53,54] reporting positive effects, 1 (14.2%) study [5] with no discernible effect, and 1 (14.2%) study [55] with mixed effects.”
From Digital Health Interventions to Prevent Type 2 Diabetes Mellitus: Systematic Review (2025) · cites this paper as [48]
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- Authors
- Cha, E., Kim, K. H., Umpierrez, G., Dawkins, C. R., Bello, M. K., Lerner, H. M., Narayan, K. M. V., & Dunbar, S. B.
- Affiliations
- Emory University (US)
- ORCID
- Venue
- The Diabetes Educator
- Publisher
- SAGE Publications
- Published
- 2014-06-20
- Volume
- 40
- Issue
- 5
- Pages
- 626-637
- ISSN
- 0145-7217 (ISSN-L)
- 1554-6063
- PMC
- PMC4169327
- OpenAlex
- W2111838388
- Cited by
- 35
- References
- 43
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 8 · 2016: 1 · 2015: 2
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Science of Diabetes Self-Management and Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000454)
- National Institute of Nursing Research (K01NR012779)
- National Center for Research Resources (UL1RR025008)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes prevention, prediabetes, young adults, digital health interventions, handheld devices, lifestyle coaching, diet, physical activity, health literacy, illness perception, self-efficacy, cardiometabolic risk factors, body mass index, HbA1c, impaired fasting glucose, obesity, sedentary behavior, social cognitive theory
- MeSH terms
- Adult, Behavior Therapy, Blood Glucose, Diabetes Mellitus, Type 2, Diet, Feasibility Studies, Female, Health Education, Glycated Hemoglobin, Humans, Male, Motivation, Patient Education as Topic, Prediabetic State, Self Care, Social Perception, United States, Exercise, Treatment Outcome, Risk Assessment, Self Efficacy, Computers, Handheld, Risk Reduction Behavior, Young Adult
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