Evidence map›Paper›PMID 36930404›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2024

Implementation of the Diabetes Prevention Program in Georgia Cooperative Extension According to RE-AIM and the Consolidated Framework for Implementation Research.

Hannah K Wilson, Caroline Wieler, Darci L Bell, Ajit P Bhattarai, Isaura M Castillo-Hernandez, Ewan R Williams, Ellen M Evans, Alison C Berg

Erratum issued Registry-linked trialFull text read
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07390071 (Multimodal Telerehabilitation in Patients Undergoing CAR-T Cell Immunotherapy), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07390071 narecruitingnot on this mapstarted 2025, after this paper: background citation

Multimodal Telerehabilitation in Patients Undergoing CAR-T Cell Immunotherapy

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled40ConditionsLymphoma, Myeloma, Cytokine Release Syndrome, Immune Effector Cell Associated Neurotoxicity SyndromeArmsHome Automated Telemanagement (HAT) Patient Unit
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Facilitators and barriers to implementing the Diabetes Prevention Program in rural church settings: A qualitative study using the Consolidated Framework for Implementation Research.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Hannah K WilsonDepartment of Nutrition, Dietetics and Exercise Science, Concordia College, Moorhead, MN, 56562, USA.
Caroline WielerDepartment of Nutritional Sciences, University of Georgia, Athens, GA, 30602, USA.
Darci L BellDepartment of Nutritional Sciences, University of Georgia, Athens, GA, 30602, USA.
Ajit P BhattaraiDepartment of Organizational Learning and Performance, Idaho State University, Pocatello, ID, 83209, USA.
Isaura M Castillo-HernandezHuman Movement Sciences Research Center, School of Physical Education and Sports, University of Costa Rica, San José, 11502, Costa Rica.
Ewan R WilliamsDepartment of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, 29425, USA.
Ellen M EvansDepartment of Kinesiology, University of Georgia, Athens, GA, 30602, USA.
Alison C BergDepartment of Nutritional Sciences, University of Georgia, Athens, GA, 30602, USA. alisoncberg@uga.edu.ORCID 0000-0003-1756-2299

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
NCATS NIH HHS UL1 TR002378NCATS NIH HHS UL1TR002378
6 · The paper itself

Abstract

Increased dissemination of the CDC's Diabetes Prevention Program (DPP) is imperative to reduce type 2 diabetes. Due to its nationwide reach and mission to improve health, Cooperative Extension (Extension) is poised to be a sustainable DPP delivery system. However, research evaluating DPP implementation in Extension remains scant. Extension professionals delivered the DPP in a single-arm hybrid type II effectiveness-implementation study. Semi-structured interviews with Extension professionals were conducted at three time points. The Consolidated Framework for Implementation Research (CFIR) guided interview coding and analysis. Constructs were rated for magnitude and valence and evaluated as facilitators or barriers of RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) outcomes. The program reached 119 participants, was adopted by 92% (n = 12/13) of trained Extension professionals and was implemented according to CDC standards: all programs exceeded the minimum 22-session requirement (26 ± 2 sessions). The program was effective in achieving weight loss (5.0 ± 5.2%) and physical activity (179 ± 122 min/week) goals. At post-intervention, eight professionals (67%) had begun or planned to maintain the intervention within the next 6 months. Several facilitators were identified, including Extension leadership structure, organizational compatibility, and technical assistance calls. Limited time to recruit participants was the primary barrier. Positive RE-AIM outcomes, facilitated by contextual factors, indicate Extension is an effective and sustainable DPP delivery system. Extension and other DPP implementers should plan strategies that promote communication, the program's evidence-base, recruitment time, and resource access. Researchers should explore DPP implementation in real-world settings to determine overall and setting-specific best practices, promote intervention uptake, and reduce diabetes.

Indexed as

Diabetes Mellitus, Type 2Implementation ScienceAdultCenters for Disease Control and Prevention, U.S.FemaleGeorgiaHealth PromotionHumansInterviews as TopicMaleMiddle AgedProgram EvaluationCommunity healthCommunity health educationImplementation sciencePrediabetesPreventive health programsQualitative researchType 2 diabetes

Identifiers

PMID36930404
PMCPMC10021035

What OpenQuestion holds

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LicenceCC BY
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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.