@Article{info:doi/10.2196/45004,
author="Beasley, Jeannette M
and Johnston, Emily A
and Costea, Denisa
and Sevick, Mary Ann
and Rogers, Erin S
and Jay, Melanie
and Zhong, Judy
and Chodosh, Joshua",
title="Adapting the Diabetes Prevention Program for Older Adults: Descriptive Study",
journal="JMIR Form Res",
year="2023",
month="Aug",
day="29",
volume="7",
pages="e45004",
keywords="aging; diabetes prevention program; nutrition; diet; physical activity; weight loss; weight; exercise; diabetes; prevention; diabetic; ageing; older adult; online intervention; digital intervention; virtual delivery; lifestyle coach; group-based intervention",
abstract="Background: Prediabetes affects 26.4 million people aged 65 years or older (48.8{\%}) in the United States. Although older adults respond well to the evidence-based Diabetes Prevention Program, they are a heterogeneous group with differing physiological, biomedical, and psychosocial needs who can benefit from additional support to accommodate age-related changes in sensory and motor function. Objective: The purpose of this paper is to describe adaptations of the Centers for Disease Control and Prevention's Diabetes Prevention Program aimed at preventing diabetes among older adults (ages ≥65 years) and findings from a pilot of 2 virtual sessions of the adapted program that evaluated the acceptability of the content. Methods: The research team adapted the program by incorporating additional resources necessary for older adults. A certified lifestyle coach delivered 2 sessions of the adapted content via videoconference to 189 older adults. Results: The first session had a 34.9{\%} (38/109) response rate to the survey, and the second had a 34{\%} (30/88) response rate. Over three-quarters (50/59, 85{\%}) of respondents agreed that they liked the virtual program, with 82{\%} (45/55) agreeing that they would recommend it to a family member or a friend. Conclusions: This data will be used to inform intervention delivery in a randomized controlled trial comparing in-person versus virtual delivery of the adapted program. ",
issn="2561-326X",
doi="10.2196/45004",
url="https://formative.jmir.org/2023/1/e45004",
url="https://doi.org/10.2196/45004",
url="http://www.ncbi.nlm.nih.gov/pubmed/37642989"
}