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. 2023 Aug 29:7:e45004.
doi: 10.2196/45004.

Adapting the Diabetes Prevention Program for Older Adults: Descriptive Study

Jeannette M Beasley  1   2 , Emily A Johnston  2 , Denisa Costea  2 , Mary Ann Sevick  2   3 , Erin S Rogers  3 , Melanie Jay  2   3   4 , Judy Zhong  3 , Joshua Chodosh  2   3   4
Affiliations

Adapting the Diabetes Prevention Program for Older Adults: Descriptive Study

Jeannette M Beasley et al. JMIR Form Res. .

Abstract

Background: Prediabetes affects 26.4 million people aged 65 years or older (48.8%) in the United States. Although older adults respond well to the evidence-based Diabetes Prevention Program, they are a heterogeneous group with differing physiological, biomedical, and psychosocial needs who can benefit from additional support to accommodate age-related changes in sensory and motor function.

Objective: The purpose of this paper is to describe adaptations of the Centers for Disease Control and Prevention's Diabetes Prevention Program aimed at preventing diabetes among older adults (ages ≥65 years) and findings from a pilot of 2 virtual sessions of the adapted program that evaluated the acceptability of the content.

Methods: The research team adapted the program by incorporating additional resources necessary for older adults. A certified lifestyle coach delivered 2 sessions of the adapted content via videoconference to 189 older adults.

Results: The first session had a 34.9% (38/109) response rate to the survey, and the second had a 34% (30/88) response rate. Over three-quarters (50/59, 85%) of respondents agreed that they liked the virtual program, with 82% (45/55) agreeing that they would recommend it to a family member or a friend.

Conclusions: This data will be used to inform intervention delivery in a randomized controlled trial comparing in-person versus virtual delivery of the adapted program.

Keywords: ageing; aging; diabetes; diabetes prevention program; diabetic; diet; digital intervention; exercise; group-based intervention; lifestyle coach; nutrition; older adult; online intervention; physical activity; prevention; virtual delivery; weight; weight loss.

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Conflict of interest statement

Conflicts of Interest: None declared.

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