title: Implementation and outcomes of the New York State YMCA diabetes prevention program: a multisite community-based translation, 2010-2012.
abstract: BACKGROUND
  Weight loss and physical activity achieved through the Diabetes Prevention Program (DPP) have been shown to reduce type 2 diabetes risk among individuals with prediabetes. The New York State Young Men's Christian Association (YMCA) delivered the 16-week evidence-based model at 14 YMCAs. A mixed methods process and outcomes evaluation was conducted.
  
  
  METHODS
  Most participants were referred by clinicians and were encouraged to achieve 5% to 7% weight loss. Participants were weighed weekly; additional data were gathered from participant surveys and focus groups and staff surveys and interviews.
  
  
  RESULTS
  Participants (N = 254) lost a mean of 9 pounds (P < .001), or 4.2% of body weight, by program completion; 40% achieved 5% or more weight loss and 25% achieved 7% or more weight loss. Ten months after baseline, 61% of participants reported 5% or more weight loss and 48% reported 7% or more weight loss. In multivariate models, weight loss was negatively associated with black race (16 weeks: adjusted odds ratio [AOR], 0.190, P = .002; 10 months: AOR, 0.244, P = .005) and positively associated with attendance (16 weeks: AOR, 18.699, P < .001; 10 months: AOR, 2.808, P = .024). Participants reported improvements in health and lifestyle changes after program completion. Factors contributing to program success included coaches who motivated participants, the group setting, curriculum, and program duration. However, sociodemographic diversity was limited.
  
  
  CONCLUSIONS
  Outcomes demonstrate the potential for effectively implementing the DPP in community-based settings. Findings also suggest the need for replications among a broader population.
authors.affiliation: The New York Academy of Medicine, 1216 Fifth Ave, New York, NY 10029. E-mail: abozack@nyam.org.
authors.forename: Anne
authors.initials: A
authors.lastname: Bozack
authors.affiliation: New York State Department of Health, Albany, New York.
authors.forename: Susan
authors.initials: S
authors.lastname: Millstein
authors.affiliation: New York State Health Foundation, New York, New York.
authors.forename: Jacqueline Martinez
authors.initials: JM
authors.lastname: Garcel
authors.affiliation: New York State Department of Health, Albany, New York.
authors.forename: Kim
authors.initials: K
authors.lastname: Kelly
authors.affiliation: New York State Department of Health, Albany, New York.
authors.forename: Rachael
authors.initials: R
authors.lastname: Ruberto
authors.affiliation: The New York Academy of Medicine, New York, New York.
authors.forename: Linda
authors.initials: L
authors.lastname: Weiss
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D040343:Behavioral Risk Factor Surveillance System; D015992:Body Mass Index; D003153:Community Health Services; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D055317:Evidence-Based Practice; D005260:Female; D017144:Focus Groups; D005500:Follow-Up Studies; D006284:Health Plan Implementation; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009518:New York; D010353:Patient Education as Topic / Q000379:methods; D015397:Program Evaluation; D036301:Qualitative Research; D012017:Referral and Consultation; D012111:Residence Characteristics; D012923:Social Class; D011795:Surveys and Questionnaires; D015431:Weight Loss / Q000502:physiology*; D061217:Weight Reduction Programs