title: Translating efficacious behavioral principles for diabetes prevention into practice.
abstract: This case study describes the process of translating efficacy-based Diabetes Prevention Program principles into a practical format for delivery within a managed care organization. Using Rogers' innovation-decision process model, the authors tracked the adoption, implementation, and short-term effectiveness of a clinical program. Effectiveness was documented using a pre-post design to detect changes in physical activity and dietary habits. Participants (N = 298) were Kaiser Permanente of Colorado patients enrolled in diabetes-prevention classes. Changes were analyzed using paired-samples t tests and one-way analysis of variance. Participants significantly increased reported minutes of moderate (p < .001, mu = 84.52, CI: 58.44-110.61) and vigorous (t = 2.220, p = .028, mu = 19.05, CI: 2.10-36.00) physical activity and their daily servings of fruits and vegetables (p < .001, mu = 0.20, CI: 0.13-0.27). By identifying the underlying strategies that led to efficacy, professionals can implement sound diabetes-prevention programs that fit within their context.
authors.affiliation: University of Edinburgh, Edinburgh, UK.
authors.forename: Renae L
authors.initials: RL
authors.lastname: Smith-Ray
authors.forename: Fabio A
authors.initials: FA
authors.lastname: Almeida
authors.forename: Jennifer
authors.initials: J
authors.lastname: Bajaj
authors.forename: Sally
authors.initials: S
authors.lastname: Foland
authors.forename: Michele
authors.initials: M
authors.lastname: Gilson
authors.forename: Susan
authors.initials: S
authors.lastname: Heikkinen
authors.forename: Helen
authors.initials: H
authors.lastname: Seagle
authors.forename: Paul A
authors.initials: PA
authors.lastname: Estabrooks
mesh_terms: D003120:Colorado; D003479:Curriculum; D003657:Decision Making; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D004059:Diffusion of Innovation; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D008875:Middle Aged; D009042:Motivation; D010353:Patient Education as Topic; D016730:Program Development; D015397:Program Evaluation; D011795:Surveys and Questionnaires