Evaluation of the University of California Diabetes Prevention Program (UC DPP) Initiative.
Evaluation of the University of California Diabetes Prevention Program (UC DPP) Initiative.
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DOI：
10.1186/s12889-021-11731-7
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发表时间：
2021-09-30
影响因子：
4.5
通讯作者：
Moin T
中科院分区：
文献类型：
--
作者：
Gholami M;Jackson NJ;Chung UYR;Duru OK;Shedd K;Soetenga S;Loeb T;Elashoff D;Hamilton AB;Mangione CM;Slusser W;Moin T
2型糖尿病会对长期健康结果、医疗保健成本和生活质量产生负面影响。然而，包括糖尿病预防计划(DPP)在内的强化生活方式干预可以显著降低患有前驱糖尿病的超重成年人发生2型糖尿病的风险。不幸的是，在美国，大多数有患糖尿病风险的成年人并不参与基于DPP的生活方式改变计划。更多地采用循证肥胖和糖尿病预防干预措施，如DPP，可能有助于大雇主降低健康风险，改善员工的健康结果。2018年，加州大学校长办公室(UCOP)实施了UC DPP倡议，这是一个新颖的多组件计划，旨在解决整个UC系统的糖尿病和肥胖预防问题。我们研究的目标是使用REACH、Efficiency、Adption、Implementation和Maintenance(RE-AIM)框架对UC DPP倡议进行多方面的评估。我们的评估将整合独特和多样化的UC数据来源，包括电子健康记录(EHR)数据、行政索赔、校园DPP队列数据、定性访谈和现场访问。我们感兴趣的主要结果是三组超重/肥胖的UC受益者在12个月的随访中有糖尿病风险的平均体重变化百分比。次要结果包括24个月随访时体重的平均百分比变化、与实施相关的障碍和促进者，以及计划采用和维护的程度。我们的研究将有助于为整个UC系统的糖尿病和肥胖症预防工作提供信息。这项评估的结果也将高度适用于大学和大型雇主，以及实施DPP和/或其他健康促进干预措施的社区组织者、医疗保健组织和保险公司。
Type 2 diabetes can negatively impact long term health outcomes, healthcare costs and quality of life. However, intensive lifestyle interventions, including the Diabetes Prevention Program (DPP), can significantly lower risk of incident type 2 diabetes among overweight adults with prediabetes. Unfortunately, the majority of adults in the US who are at risk of developing diabetes do not engage in DPP-based lifestyle change programs. Increased adoption of evidence-based obesity and diabetes prevention interventions, such as the DPP, may help large employers reduce health risks and improve health outcomes among employees. In 2018, the University of California Office of thePresident (UCOP) implemented the UC DPP Initiative, a novel, multi-component program to address diabetes and obesity prevention across the UC system. The goal of our study is to conduct a multifaceted evaluation of the UC DPP Initiative using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Our evaluation will integrate unique and diverse UC data sources, including electronic health record (EHR) data, administrative claims, campus-based DPP cohort data, qualitative interviews and site visits. Our primary outcome of interest is the mean percent weight change among three groups of overweight/obese UC beneficiaries at risk for diabetes at 12-month follow-up. Secondary outcomes include mean percent weight change at 24-month follow-up, barriers and facilitators associated with implementatio, as well as the degree of program adoption and maintenance. Our study will help inform diabetes and obesity prevention efforts across the UC system. Findings from this evaluation will also be highly applicable to universities and large employers, as well as community organizers, healthcare organizations and insurers implementing the DPP and/or other health promotion interventions.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
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4.1
作者：
Kullgren JT;Knaus M;Jenkins KR;Heisler M
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Heisler M
影响因子：
2.7
作者：
Wilson, Mark G.;DeJoy, David M.;Davis, Marsha
通讯作者：
Davis, Marsha
影响因子：
7.2
作者：
Nhim, Kunthea;Gruss, Stephanie M.;Albright, Ann
通讯作者：
Albright, Ann