ArticleBMC public health2021
Reach, engagement and effectiveness of in-person and online lifestyle change programs to prevent diabetes.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07079722 (Educational Program for Type 2 Diabetes Prevention With Integrated Physical Exercise), which is not on this map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Educational Program for Type 2 Diabetes Prevention With Integrated Physical Exercise: Digital and In-Person Approach
Who cites it
17 citing papers in PubMed.
- Hybrid Health IT and Telehealth-Delivered Behavioral Weight Loss Services for Primary Care Patients With Cardiovascular Risk Factors: Intervention Component Design and Pragmatic Randomized Feasibility Trial.JMIR mHealth and uHealth · 2025Trial
- A Qualitative Study Exploring Diabetes Prevention Intervention Needs and Ideas Among Young Adults at High Risk for Diabetes.Journal of nutrition education and behavior · 2026Article
- Prediction of Adherence to an Online Wellness Program for People with Mobility Limitations: A Machine Learning Approach.Healthcare (Basel, Switzerland) · 2026Article
- Reaching Veterans Most in Need: Evaluating Engagement in a National Telephone Lifestyle Coaching Program for Veterans.Journal of general internal medicine · 2026Article
- Effects of a Digitally-Enabled Healthy Eating and Physical Activity Diabetes Prevention Peer Support Program on Weight over 6-Months.Nutrients · 2025Article
- The MyRelief Digital Educational Self-Management Program for Persistent Low Back Pain: Feasibility Uncontrolled Trial.JMIR formative research · 2025Article
- Neighborhood socioeconomic disadvantage and travel time to diabetes prevention programs in Maryland.Health & place · 2025Article
- Moving Diabetes Prevention Programs to the Workplace: A Qualitative Exploration of Barriers and Facilitators to Participant Engagement When Implemented by an Employer-Based Clinic.Preventing chronic disease · 2024Article
- Delivering the National Diabetes Prevention Program: Assessment of Retention, Physical Activity, and Weight Loss Outcomes by Participant Characteristics and Delivery Modes.Journal of diabetes research · 2024Article
- Examining paradoxical session attendance and weight loss relationships in a clinic based lifestyle modification intervention.Obesity science & practice · 2023Article
- Mental health diagnosis attenuates weight loss among older adults in a digital diabetes prevention program.Obesity science & practice · 2023Article
- Two decades of diabetes prevention efforts: A call to innovate and revitalize our approach to lifestyle change.Diabetes research and clinical practice · 2023Review
- Real-world effectiveness of digital and group-based lifestyle interventions as compared with usual care to reduce type 2 diabetes risk - A stop diabetes pragmatic randomised trial.The Lancet regional health. Europe · 2023Article
- Adaptation and implementation outcomes of a parenting program for low-income, ethnically diverse families delivered virtually versus in-person.Translational behavioral medicine · 2022Article
- A Pilot Study to Examine the Feasibility and Acceptability of a Virtual Adaptation of an In-Person Adolescent Diabetes Prevention Program.International journal of environmental research and public health · 2022Article
- Hybrid model of intensive lifestyle intervention is potentially effective in patients with diabetes & obesity for post-COVID era.Frontiers in endocrinology · 2022Article
- In-person and virtual multidisciplinary intensive lifestyle interventions are equally effective in patients with type 2 diabetes and obesity.Therapeutic advances in endocrinology and metabolism · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundCOVID-19 has accelerated interest in and need for online delivery of healthcare. We examined the reach, engagement and effectiveness of online delivery of lifestyle change programs (LCP) modelled after the Diabetes Prevention Program (DPP) in a multistate, real-world setting.
methodsLongitudinal, non-randomized study comparing online and in-person LCP in a large multistate sample delivered over 1 year. Sample included at-risk adults (n = 26,743) referred to online (n = 9) and in-person (n = 11) CDC-recognized LCP from a multi-state registry (California, Florida and Colorado) between 2015 and 2018. The main outcome was effectiveness (proportion achieving > 5% weight loss) at one-year. Our secondary outcomes included reach (proportion enrolled among referred) and engagement (proportion ≥ 9 sessions by week 26). We used logistic regression modelling to assess the association between participant- and setting -level characteristics with meaningful weight loss.
resultsOnline LCP effectiveness was lower, with 23% of online participants achieving > 5% weight loss, compared with 35% of in-person participants (p < 0.001). More adults referred to online programs enrolled (56% vs 51%, p < 0.001), but fewer engaged at 6-months (attendance at ≥9 sessions 46% vs 66%, p < 0.001) compared to in-person participants.
conclusionsCompared to adults referred to in-person LCP, those referred to online LCP were more likely to enroll and less likely to engage. Online participants achieved modest meaningful weight loss. Online delivery of LCP is an attractive strategy to deliver and scale DPP, particularly with social distancing measures currently in place. However, it is unclear how to optimize delivery models for maximal impact given trade-offs in reach and effectiveness.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.