Effect of the National Diabetes Prevention Program on Weight Loss for English- and Spanish-Speaking Latinos
Abstract
Purpose To study the effect of the National Diabetes Prevention Program (NDPP) on weight loss in Latinos. Design No-control, cohort study comparing Latino and non-Hispanic white (NHW) participants. Setting A health-care system. Participants Five hundred sixty-seven Latino and 175 NHW patients who enrolled in the NDPP. A total of 45.2% of Latinos selected the Spanish-language NDPP. Intervention The NDPP is a nationwide translation of a clinical trial and seeks to prevent diabetes through weight loss in a yearlong group program. Measures Independent variables included ethnicity, class language, and number of sessions attended. Main outcomes were initial attendance, number of sessions attended, and weight loss. Analysis Multivariate logistic regression and analysis of covariance were used to determine differences in NDPP outcomes by ethnicity, language, and number of sessions attended. Results Mean attendance was 8.60 of 22 sessions. Each session was associated with 0.30% (±0.02; P Conclusion Latinos appeared to benefit less from the NDPP compared to NHWs, likely due to lower attendance rates. Further efforts are needed to support their participation.
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High initial no-shows among enrollees overall are 25-60%, and appear higher for racial/ethnic minority, low-income, and younger participants.
“Another challenge is high initial “no shows” among enrollees overall (25–60%),21–23 which appear higher yet for racial/ethnic minority, low-income, and younger participants.”
From <p>Current Perspectives on the Impact of the National Diabetes Prevention Program: Building on Successes and Overcoming Challenges</p> (2020) · cites this paper as [21]
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References 10 · Cited by 53
- Authors
- Ritchie, N. D., Christoe-Frazier, L., McFann, K. K., Havranek, E. P., & Pereira, R. I.
- Affiliations
- Denver Health Medical Center (US)
- University of Northern Colorado (US)
- Colorado School of Public Health (US)
- Corresponding author
- Ritchie, Natalie D.
- Venue
- American Journal of Health Promotion
- Publisher
- SAGE Publications
- Published
- 2017-03-20
- Volume
- 32
- Issue
- 3
- Pages
- 812-815
- ISSN
- 0890-1171 (ISSN-L)
- 2168-6602
- OpenAlex
- W2604053224
- Cited by
- 53
- References
- 10
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 3 · 2023: 9 · 2022: 5 · 2021: 6 · 2020: 9 · 2019: 5 · 2018: 5 · 2017: 2
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Health Promotion (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 › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- National Diabetes Prevention Program, weight loss, program attendance, language barriers, ethnic disparities, diabetes prevention
- MeSH terms
- Adult, Age Factors, Aged, Diabetes Mellitus, Type 2, Ethnicity, Female, Health Promotion, Hispanic or Latino, Humans, Language, Male, Middle Aged, Sex Factors, Socioeconomic Factors, Cohort Studies, Logistic Models, White People, Weight Reduction Programs
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