title: What do primary care prediabetes patients need? A baseline assessment of patients engaging in a technology-enhanced lifestyle intervention.
abstract: OBJECTIVE
  This study assessed the baseline knowledge, perceptions, attitudes and behaviors of prediabetes patients in order to tailor a new technology-enhanced primary care-based lifestyle modification intervention.
  
  
  METHODS
  Patients with a diagnosis of prediabetes were enrolled in a randomized, controlled pilot study, Avoiding Diabetes Thru Action Plan Targeting (ADAPT), a technology-based intervention to promote action plan discussions around patient-selected behavior change goals.
  
  
  RESULTS
  A total of 54 adults (82% female) were enrolled in the pilot study. Most (89%) had comorbid conditions and mean BMI was 36. Participants exhibited high risk of diabetes knowledge (knowledge score 20 on a 32 point scale) and high levels of willingness to make changes to decrease diabetes risk. Number of daily steps was inversely correlated with perceived physical activity (r=-0.35082, p<0.001). Poorer scores on diet quality were inversely correlated with BMI.
  
  
  CONCLUSIONS
  Participants in this sample demonstrated requisite levels of knowledge, self-efficacy, motivation and risk perception for effective behavior change. These data suggest that primary care-based prediabetes interventions can move beyond educational goals and focus on enhancing patients' ability to select, plan and enact action plans.
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Kolb
authors.affiliation: Section of Preventive Medicine and Epidemiology, Boston University/Boston Medical Center, Boston, MA, USA.
authors.forename: Nicole R
authors.initials: NR
authors.lastname: Kitos
authors.affiliation: Section of General Medicine, Boston University/Boston Medical Center, Boston, MA, USA.
authors.forename: Ambili
authors.initials: A
authors.lastname: Ramachandran
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY, USA.
authors.forename: Jenny J
authors.initials: JJ
authors.lastname: Lin
authors.forename: Devin M
authors.initials: DM
authors.lastname: Mann
keywords: Behavior Modification; Prediabetes; Risk-Perception; Self-Efficacy; Type II Diabetes Mellitus