Diabetes Prevention by Partnering to offer a Lifestyle Intervention in Nearby Community locaitons (DPP-LINC)
About this Project
DPP-LINC – The Diabetes Prevention by Partnering to offer a Lifestyle Intervention in Nearby Community locaitons (DPP-LINC) study involved a pilot-randomized controlled trial to understand the facilitators and barriers for successful practice change relating to implementing ADA/DHHS pre-diabetes screening recommendations, as well as the comparative levels of participation and effectiveness when offering brief counseling to high risk patients, followed by referral to one of two different models for DPP delivery outside of the primary care setting. Adult patients of two participating primary care practice settings were recruited after completion of a point-of-care screening test showing elevated blood glucose and were then randomized to receive either individually-based DPP delivery (traditional DPP) versus a group adaption of the DPP intervention delivered by employees of the YMCA. The study found that uptake into the group-based program was slightly better than for traditional DPP, and the weight loss effectiveness was similar. This work engaged primary practice group leadership and clinicians in the design of new practice-based intervention procedures, study protocols, and preliminary data that enhanced the success of our future RAPID Study.