title: Effectiveness of a lifestyle intervention program among persons at high risk for cardiovascular disease and diabetes in a rural community.
abstract: OBJECTIVE
  To evaluate the feasibility of translating the Diabetes Prevention Program (DPP) lifestyle intervention into practice in a rural community.
  
  
  METHODS
  In 2008, the Montana Diabetes Control Program worked collaboratively with Holy Rosary Healthcare to implement an adapted group-based DPP lifestyle intervention. Adults at high risk for diabetes and cardiovascular disease were recruited and enrolled (N = 101). Participants set targets to reduce fat intake and increase physical activity (> or = 150 mins/week) in order to achieve a 7% weight loss goal.
  
  
  RESULTS
  Eighty-three percent (n = 84) of participants completed the 16-session core program and 65 (64%) participated in 1 or more after-core sessions. Of those completing the core program, the mean participation was 14.4 +/- 1.6 and 3.9 +/- 1.6 sessions during the core and after core, respectively. Sixty-five percent of participants met the 150-min-per-week physical activity goal during the core program. Sixty-two percent achieved the 7% weight loss goal and 78% achieved at least a 5% weight loss during the core program. The average weight loss per participant was 7.5 kg (range, 0 to 19.7 kg), which was 7.5% of initial body weight. At the last recorded weight in the after core, 52% of participants had met the 7% weight loss goal and 66% had achieved at least a 5% weight loss.
  
  
  CONCLUSIONS
  Our findings suggest that it is feasible to implement a group-based DPP in a rural community and achieve weight loss and physical goals that are comparable to those achieved in the DPP.
authors.affiliation: Healthy Lifestyles Program, Holy Rosary Healthcare, Miles City, Montana.
authors.forename: Liane M
authors.initials: LM
authors.lastname: Vadheim
authors.forename: Kari A
authors.initials: KA
authors.lastname: Brewer
authors.forename: Darcy R
authors.initials: DR
authors.lastname: Kassner
authors.forename: Karl K
authors.initials: KK
authors.lastname: Vanderwood
authors.forename: Taryn O
authors.initials: TO
authors.lastname: Hall
authors.forename: Marcene K
authors.initials: MK
authors.lastname: Butcher
authors.forename: Steven D
authors.initials: SD
authors.lastname: Helgerson
authors.forename: Todd S
authors.initials: TS
authors.lastname: Harwell
mesh_terms: D001835:Body Weight; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003479:Curriculum; D003920:Diabetes Mellitus / Q000517:prevention & control*; D004041:Dietary Fats; D005240:Feasibility Studies; D005260:Female; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D008297:Male; D024821:Metabolic Syndrome; D008875:Middle Aged; D009009:Montana; D009043:Motor Activity; D009765:Obesity / Q000517:prevention & control; D010353:Patient Education as Topic; D015397:Program Evaluation; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D019035:Rural Health Services; D012424:Rural Population; D040241:Social Marketing
chemical_list: D004041:Dietary Fats