Adapted diabetes prevention program lifestyle intervention can be effectively delivered through telehealth.
The purpose of this study was to assess the feasibility of delivering an adapted group-based version of the Diabetes Prevention Program's (DPP) lifestyle intervention through telehealth video conferencing.



In 2009, the Montana Department of Public Health and Human Services in collaboration with Holy Rosary Heathcare implemented the DPP lifestyle intervention, which was provided to an on-site group in 1 community and simultaneously through telehealth to a second group in a remote frontier community. Participants obtained medical clearance from their primary care physician and were eligible if they were overweight and had 1 or more of the following risk factors: prediabetes, impaired glucose tolerance/impaired fasting glucose (IGT/IFG), a history of gestational diabetes (GDM) or the delivery of an infant >9 pounds, hypertension, or dyslipidemia.



A total of 13 and 16 eligible adults enrolled in the on-site and the telehealth program, and 13 (100%) and 14 (88%) participants completed the 16-week program, respectively. Both the on-site and telehealth groups achieved high levels of weekly physical activity and there were no significant differences between groups. Over 45% of on-site and telehealth participants achieved the 7% weight loss goal with the average weight loss per participant greater than 6.4 kg in both groups.



Our findings suggest that it is feasible to deliver an adapted group-based DPP lifestyle intervention through telehealth resulting in weight loss outcomes similar to the original DPP.
Vadheim
Liane M
LM
Holy Rosary Healthcare, Miles City, MT (Ms Vadheim, Ms McPherson, Ms Kassner)
McPherson
Carla
C
Holy Rosary Healthcare, Miles City, MT (Ms Vadheim, Ms McPherson, Ms Kassner)
Kassner
Darcy R
DR
Holy Rosary Healthcare, Miles City, MT (Ms Vadheim, Ms McPherson, Ms Kassner)
Vanderwood
Karl K
KK
Montana Department of Public Health and Human Services, Helena, MT (Mr Vanderwood, Ms Hall, Ms Butcher, Dr Helgerson, Mr Harwell)
Hall
Taryn O
TO
Montana Department of Public Health and Human Services, Helena, MT (Mr Vanderwood, Ms Hall, Ms Butcher, Dr Helgerson, Mr Harwell)
Butcher
Marcene K
MK
Montana Department of Public Health and Human Services, Helena, MT (Mr Vanderwood, Ms Hall, Ms Butcher, Dr Helgerson, Mr Harwell)
Helgerson
Steven D
SD
Montana Department of Public Health and Human Services, Helena, MT (Mr Vanderwood, Ms Hall, Ms Butcher, Dr Helgerson, Mr Harwell)
Harwell
Todd S
TS
Montana Department of Public Health and Human Services, Helena, MT (Mr Vanderwood, Ms Hall, Ms Butcher, Dr Helgerson, Mr Harwell)
D000328:Adult; D001519:Behavior; D003920:Diabetes Mellitus / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000517:prevention & control; D004777:Environment; D006040:Goals; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D008019:Life Style; D008913:Minority Groups; D009042:Motivation; D010353:Patient Education as Topic / Q000379:methods; D011369:Professional-Patient Relations; D012307:Risk Factors; D012922:Social Change; D013690:Television