Behavioral strategies in diabetes prevention programs: A systematic review of randomized controlled trials

Diabetes Prevention in the Real World: Effectiveness of Pragmatic Lifestyle Interventions for the Prevention of Type 2 Diabetes and of the Impact of Adherence to Guideline Recommendations

“…However, the authors only focused on translation of evidence from the U.S. Diabetes Prevention Program and also included studies where up to half of the population already had diabetes. Other systematic reviews of diabetes prevention interventions have either not included a meta-analysis (6,8,(14)(15)(16)(17) or have not focused on translational studies (3,6,15,16,(18)(19)(20)(21)(22). Overall, the systematic reviews conducted to date indicate that real-world diabetes prevention programs vary widely in their effectiveness, although most produce lower levels of weight loss than the more intensive interventions used in the clinical efficacy trials (9).…”

Assessing the real world effectiveness of the Healthy Eating Activity and Lifestyle (HEAL™) program

“…Nonetheless, studies which have incorporated control groups receiving either no intervention or usual care have found that a lifestyle modification intervention results in significantly better outcomes in terms of physical activity, weight loss and progression of type II diabetes. 1,31,32 As an example and point of comparison, participants in a 24-week intensive lifestyle modification program achieved 5.6 kg in weight loss as opposed to 0.1 kg weight loss observed in the placebo control group. 32 Retention to post-program testing was 61% which, while lower than rates considered robust for clinical trials (85%), 33 is favourable when compared with reported retention in health-related exercise programs (50%) 34 and other lifestyle modification programs such as the Lighten Up program (53%).…”

“…Key features of efficacious programs have been reported to include delivery by highly trained staff, inclusion of behaviour change education and goal-setting techniques and targeting multiple physical activity and nutritional goals simultaneously. [1][2][3][4] Baker et al 1 noted that the challenge was to translate efficacious programs into effective programs implemented in a real world setting. Compared with other approaches, multi-component group-based interventions built on proven theoretical frameworks have been reported to be more effective in increasing physical activity.…”

An Adaptation of Family-Based Behavioral Pediatric Obesity Treatment for a Primary Care Setting: Group Health Family Wellness Program Pilot

“…2 In contrast to information-focused weight management programs, effective behavioral interventions teach parents and children behavioral skills such as self-monitoring and goal setting to create and sustain lifestyle changes. [3][4][5] Despite evidence for the efficacy of behavioral pediatric obesity treatment, few models exist for their implementation in health care settings. 6,7 Few health care systems offer this type of treatment because delivery of behavioral obesity treatment requires a behavioral skill set not typically found among most physicians, nurses, nutritionists, or other primary care personnel, outside of mental health providers.…”