Effect of Intensity and Program Delivery on the Translation of Diabetes Prevention Program to Worksites

Abstract

Objective To evaluate the effectiveness of the Fuel Your Life program, an adaptation of the Diabetes Prevention Program, utilizing implementation strategies commonly used in worksite programs – telephone coaching, small group coaching and self-study. Methods The primary outcomes of BMI and weight were examined in a randomized control trial conducted with city/county employees. Results Although the majority of participants in all three groups lost some weight, the phone group lost significantly more weight (4.9 lbs.), followed by the small groups (3.4 lbs.) and the self-study (2.7 lbs.). Of the total participants, 28.3% of the phone group, 20.6% of the small group and 15.7 of the self-study group lost 5% or more of their body weight. Conclusions Fuel Your Life (DPP) can be effectively disseminated using different implementation strategies that are tailored to the workplace.

Impact of a Translated Disease Self-Management Program on Employee Health and Productivity: Six-Month Findings from a Randomized Controlled Trial

“…As indicated by its low national uptake [ 21 ], the traditional format of CDSMP was not conducive to the adoption and delivery in workplace settings [ 22 ]. The 2.5-h workshop sessions reduced employers’ ability or willingness to implement the intervention at the workplace, especially on work time [ 24 ]. As part of the wCDSMP translation, workshop sessions were shortened and held more frequently, which may facilitate increased acceptability by management in workplace settings.…”

“…In collaboration with the original program developer, the first year of this 5-year grant was dedicated to modifying the intervention’s format and content to be more appropriate for on-site workplace delivery while meeting the needs of younger employed participants. The program translation was guided by the research team’s experience translating interventions to worksite settings [ 23 , 24 ] and implementing and evaluating CDSMP in community and healthcare settings [ 11 , 19 , 21 ]. To inform the translation, the research team gathered input from CDSMP Master Trainers (i.e., national survey, interviews) and employees who had one or more chronic diseases (i.e., focus groups).…”

Effectiveness of a type 2 diabetes prevention program combining FINDRISC scoring and telephone-based coaching in the French population of bakery/pastry employees

“…Health coaching through telephone interviews is one of the emerging tools that have been shown to improve favorable health behaviors in patients suffering from chronic diseases such type 2 diabetes, as well as for prediabetes [34,35]. With regard to studies performed in the workplace, Wilson et al [36] published selected data from a randomized controlled trial conducted in 418 city/county employees in order to analyze the impact of the "Fuel Your Life" program. Three interventions were used: small group coaching, self-study and telephone coaching, the latter representing the best strategy with 28.3% of the participants of this group losing 5% or more of their body weight [36].…”

“…With regard to studies performed in the workplace, Wilson et al [36] published selected data from a randomized controlled trial conducted in 418 city/county employees in order to analyze the impact of the "Fuel Your Life" program. Three interventions were used: small group coaching, self-study and telephone coaching, the latter representing the best strategy with 28.3% of the participants of this group losing 5% or more of their body weight [36]. As our strategy, a few authors have proposed to condition a coaching-type intervention to a risk estimation by the FINDRISC score, which was also positively used as a criterion of effectiveness [37].…”

Cost Savings and Reduced Health Care Utilization Associated with Participation in a Digital Diabetes Prevention Program in an Adult Workforce Population

“…6,7 Specific worksite-based DPP adaptations have been deployed with mostly successful results. [8][9][10][11] Despite demonstrated impact on diabetes risk and cost savings, access to the DPP program has been limited and the preventive service is not reaching its potential. 12 The Centers for Disease Control (CDC) and the American Medical Association (AMA) recommend the DPP for all adults who meet the JOURNAL OF HEALTH ECONOMICS AND OUTCOMES RESEARCH criteria for prediabetes, but adoption of the program has been limited by program availability, reimbursement, and provider knowledge.…”