Adherence
Adapted Diabetes Prevention Program (DPP) lifestyle interventions delivered via coach-led groups or self-directed DVDs in primary care settings produce clinically significant weight loss and improved cardiometabolic markers compared to usual care over 15 months.
To achieve significant weight loss in a primary care setting, participate in a structured lifestyle intervention program like the Diabetes Prevention Program (DPP). You can choose between attending weekly group classes with a coach or using a self-directed DVD program, both of which include remote support and self-monitoring tools. Commit to 15 months, with the first 3 months being intensive (weekly sessions) and the remaining 12 months focusing on maintenance through regular check-ins. This approach has been shown to reduce BMI and improve blood sugar levels compared to standard care.
This primary care–based translational intervention trial demonstrated that 2 IT-supported, DPP-based lifestyle interventions both led to clinically significant reductions in body weight (measured as change in BMI), accompanied by improvements in waist circumference and fasting plasma glucose level compared with usual care over a 15-month period.
Why this rating
Randomized controlled trial with a reasonable sample size (n=241) and 15-month follow-up, though limited to a single high-SES clinic.
Source
Translating the Diabetes Prevention Program Lifestyle Intervention for Weight Loss Into Primary Care
Jun Ma et al. · JAMA Internal Medicine · 2012
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →