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Communicating personalized risk of diabetes and offering weight reduction program choice: Recruitment, participation, and outcomes

Bailey-Davis, Lisa ; Wood, G. Craig ; Cook, Adam ; Cunningham, Krystal ; Jamieson, Scott ; Mowery, Jacob ; Naylor, Allison ; Rolston, David D ; Seiler, Christopher ; Still, Christopher D

Patient education and counseling, 2020-10-12 [Peer Reviewed Journal]

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  • Title:
    Communicating personalized risk of diabetes and offering weight reduction program choice: Recruitment, participation, and outcomes
  • Author: Bailey-Davis, Lisa ; Wood, G. Craig ; Cook, Adam ; Cunningham, Krystal ; Jamieson, Scott ; Mowery, Jacob ; Naylor, Allison ; Rolston, David D ; Seiler, Christopher ; Still, Christopher D
  • Subjects: Prediabetes ; Risk calculator ; Weight loss ; Lifestyle intervention ; Nursing
  • Is Part Of: Patient education and counseling, 2020-10-12
  • Description: •Few persons with prediabetes are aware of risk.•Communication of personalized risk and weight loss to reduce risk is feasible.•Response rate is better than expected from recruitment letters.•Remote-delivered lifestyle interventions with registered dietitian frequently chosen.•Significant improvements in key health outcomes sustained at 12 months. Low patient recruitment into diabetes prevention programs is a challenge. The primary aim of this study was to demonstrate that an increased recruitment rate can be achieved by communicating personalized risk of progression to type 2 diabetes, estimating risk reduction with weight loss, and offering program choice. Secondary aims included program participation rate, weight loss, and short-term decreased diabetes risk. In this single-arm study, persons with prediabetes from 3 primary care sites received a letter that communicated their personalized risk of progression to diabetes within 3-years, estimated risk reduction with 5, 10, 15 % weight loss, reported in pounds, and offered a choice of 5 free, 6-month, programs. A one-sided test was used to compare the recruitment rate against the maximum expected rate of (10 %). Recruitment response rate was 25.3 % (81/328, 95 % CI=[20.0 %, 29.4 %]) which was significantly higher than expected (p < 0.0001). Overall, 65 % of participants completed >75 % of contacts. BMI, HbA1c, and diabetes risk (all p < 0.0001) improved at 6 months; BMI (p < 0.0001) and HbA1c (p < 0.05) improved at 12 months. Recruitment response rate was better than expected. Communicating personalized risk and reduction estimates with a choice of programs resulted in favorable outcomes, sustained at 1-year.
  • Publisher: Elsevier B.V
  • Language: English
  • Identifier: ISSN: 0738-3991
    EISSN: 1873-5134
    DOI: 10.1016/j.pec.2020.10.017
  • Source: © ProQuest LLC All rights reserved

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