Premium
Effectiveness of a Lifestyle Intervention Program Among Persons at High Risk for Cardiovascular Disease and Diabetes in a Rural Community
Author(s) -
Vadheim Liane M.,
Brewer Kari A.,
Kassner Darcy R.,
Vanderwood Karl K.,
Hall Taryn O.,
Butcher Marcene K.,
Helgerson Steven D.,
Harwell Todd S.
Publication year - 2010
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/j.1748-0361.2010.00288.x
Subject(s) - weight loss , medicine , diabetes mellitus , obesity , intervention (counseling) , type 2 diabetes , physical therapy , gerontology , core (optical fiber) , disease , nursing , endocrinology , materials science , composite material
Abstract Purpose: To evaluate the feasibility of translating the Diabetes Prevention Program (DPP) lifestyle intervention into practice in a rural community. Methods: In 2008, the Montana Diabetes Control Program worked collaboratively with Holy Rosary Healthcare to implement an adapted group‐based DPP lifestyle intervention. Adults at high risk for diabetes and cardiovascular disease were recruited and enrolled (N = 101). Participants set targets to reduce fat intake and increase physical activity (≥150 mins/week) in order to achieve a 7% weight loss goal. Findings: Eighty‐three percent (n = 84) of participants completed the 16‐session core program and 65 (64%) participated in 1 or more after‐core sessions. Of those completing the core program, the mean participation was 14.4 ± 1.6 and 3.9 ± 1.6 sessions during the core and after core, respectively. Sixty‐five percent of participants met the 150‐min‐per‐week physical activity goal during the core program. Sixty‐two percent achieved the 7% weight loss goal and 78% achieved at least a 5% weight loss during the core program. The average weight loss per participant was 7.5 kg (range, 0 to 19.7 kg), which was 7.5% of initial body weight. At the last recorded weight in the after core, 52% of participants had met the 7% weight loss goal and 66% had achieved at least a 5% weight loss. Conclusion: Our findings suggest that it is feasible to implement a group‐based DPP in a rural community and achieve weight loss and physical goals that are comparable to those achieved in the DPP.