Online Program

326669
Dose Matters: The Diabetes Prevention Program in Rural and Urban Montana


Tuesday, November 3, 2015 : 4:50 p.m. - 5:10 p.m.

Elizabeth Ciemins, PhD, MPH, MA, Center for Clinical Translational Research, Billings Clinic, Billings, MT
Objectives: To compare a 12- with a 16-week Diabetes Prevention Program, a national program to prevent type 2 diabetes and cardiovascular disease among high-risk patients, and to compare lifestyle change outcomes between rural telehealth and urban in-person participants by intervention dose.

Methodology: A 16-week face-to-face urban Diabetes Prevention Program was compared with a 12-week rural telehealth program. Pre- and post-program comparisons were made on average baseline body weight loss, dietary and physical activity goals met, and quality of life.

Results: Thirty-two urban and 91 rural participants enrolled in the program. A total of 10.4% of rural and 21.4% of urban participants lost more than 7% of their baseline body weight (p=.19). Nearly 19% of individuals who attended at least two-thirds of the sessions met the weight loss goal compared with 3.2% who attended fewer sessions. At 12 weeks, daily fat gram goals were met 48.7% and 50.4% of the time for the rural and urban groups, respectively (p=0.851).  Urban participants met physical activity goals (>150 minutes) 72.8% of the time as compared with 36.4% for rural participants (p < 0.01).  Rural participants reported improved quality of life (p<0.05) in feeling healthy, satisfaction, self-worth, social engagement, and approach to food.

Conclusions: The Diabetes Prevention Program can be successfully administered in 12 weeks to participants living in rural/frontier communities. Similar lifestyle change outcomes observed between rural and urban groups suggests telehealth technology may increase access to high-risk individuals for developing diabetes and cardiovascular disease in rural areas with limited healthcare resources.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe a lifestyle balance program adapted for rural participants. Compare an urban with a rural diabetes prevention program. Evaluate the success of providing lifestyle balance programs to rural participants.

Keyword(s): Rural Health, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal investigator of multiple federally funded grants and contracts in the area of chronic disease management. I have a specific interest and expertise in rural health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.