Translating the diabetes prevention program into a hospital-based weight loss program.

摘要: Objective Intensive lifestyle interventions have established efficacy, but translation to real-world settings has not been well demonstrated. Using the diffusion of innovations model, we describe adoption Diabetes Prevention Program (DPP) Lifestyle Intervention into a hospital-based program and report feasibility, acceptability, outcomes. Design Patients (N = 118; 72% female, mean age 48.8, baseline body mass index 43.3) were enrolled 16 weeks DPP. Main outcome measure Weight loss (kg) was measured at after treatment. Results Mean weight 5.57 kg (SD 4.6) or 4.6% weight, 30% met 7% goal. Outcomes are compared with those reported in DPP trial. Most participants (90.4%) satisfied service; however, only 56% their loss. Conclusion The successfully translated clinic some protocol modifications. modest among heavier patients more comorbidities than original sample. Diffusion theory provides useful framework for adopting evidence-based programs clinical setting.