This benchmark project intends to broaden access to the Diabetes Prevention Program (DPP) by offering technology-mediated content at the primary care level because the Primary Care Physician (PCP) predominantly diagnoses prediabetes due to the recommendation by The U.S. Preventive Services Task Force (USPSTF) that nonpregnant overweight or obese adults aged 35 to 70 be screened for prediabetes and type 2 diabetes (Davidson et al., 2021). Thus, the primary care setting is the first opportunity to impact the conversion from prediabetes to type 2 diabetes. Of the 84 million people in the United States (U.S.) with prediabetes, they are estimated to convert to type 2 diabetes at a rate of 5-10% per year (Almeida et al., 2020). The PICOT question guiding this benchmark project is as follows: In prediabetics (P), how does participating in a technology-mediated Diabetes Prevention Program (DPP) and implementing lifestyle interventions in the future (I) compared to not attending DPP and implementing lifestyle interventions (C) affect the development of type 2 diabetes (O) over one-year (T)? This benchmark project intends to delay or prevent prediabetics from progressing to type 2 diabetes in the future due to the burden and cost type 2 diabetes places on the healthcare system. This will be accomplished by a PCP practice partnering with a technology-mediated DPP to engage and enroll their prediabetic patients in DPP. Traditional in-person DPP is one-year in length with the first 6 months consisting of weekly 1-hour group classes and the latter 6 months consisting of monthly 1-hour group classes. Though the CDC-recognized National DPP has demonstrated over 50% risk reduction in progression to type 2 diabetes, its attendance has been underwhelming due to the rigorous schedule of traditional in-person classes. The technology-mediated DPP is much easier for participants to access and engage in during their own time without having to go somewhere for weekly/monthly in-person classes. Its potential for large scalability and dissemination should appeal to PCPs aiming to decrease incident type 2 diabetes among a prediabetic population.
Date of publication
MSN Capstone Project
Senical, Devon, "Technology-Mediated Diabetes Prevention Program (DPP) Benchmark Project" (2023). MSN Capstone Projects. Paper 245.