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Skrine Jeffers K, Castellon-Lopez Y, Grotts J, et al. Diabetes Prevention Program attendance is associated with improved patient activation: Results from the Prediabetes Informed Decisions and Education (PRIDE) study. Prev Med Rep. 2019;16:100961doi: 10.1016/j.pmedr.2019.100961.
Skrine Jeffers, K., Castellon-Lopez, Y., Grotts, J., Mangione, C. M., Moin, T., Tseng, C. H., Turk, N., Frosch, D. L., Norris, K. C., Duke, C. C., Moreno, G., & Duru, O. K. (2019). Diabetes Prevention Program attendance is associated with improved patient activation: Results from the Prediabetes Informed Decisions and Education (PRIDE) study. Preventive medicine reports, 16100961. https://doi.org/10.1016/j.pmedr.2019.100961
Skrine Jeffers, Kia, et al. "Diabetes Prevention Program attendance is associated with improved patient activation: Results from the Prediabetes Informed Decisions and Education (PRIDE) study." Preventive medicine reports vol. 16 (2019): 100961. doi: https://doi.org/10.1016/j.pmedr.2019.100961
Skrine Jeffers K, Castellon-Lopez Y, Grotts J, Mangione CM, Moin T, Tseng CH, Turk N, Frosch DL, Norris KC, Duke CC, Moreno G, Duru OK. Diabetes Prevention Program attendance is associated with improved patient activation: Results from the Prediabetes Informed Decisions and Education (PRIDE) study. Prev Med Rep. 2019 Jul 22;16:100961. doi: 10.1016/j.pmedr.2019.100961. eCollection 2019 Dec. PMID: 31516814; PMCID: PMC6732720.
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Prev Med Rep. 2019 Jul 22;16:100961. doi: 10.1016/j.pmedr.2019.100961. eCollection 2019 Dec.

Diabetes Prevention Program attendance is associated with improved patient activation: Results from the Prediabetes Informed Decisions and Education (PRIDE) study.

Preventive medicine reports

Kia Skrine Jeffers, Yelba Castellon-Lopez, Jonathan Grotts, Carol M Mangione, Tannaz Moin, Chi-Hong Tseng, Norman Turk, Dominick L Frosch, Keith C Norris, Christopher C Duke, Gerardo Moreno, O Kenrik Duru

Affiliations

  1. School Nursing, UCLA, Los Angeles, CA, United States of America.
  2. Department of Family Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA, United States of America.
  3. Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, UCLA, Los Angeles, CA, United States of America.
  4. Jonathan and Karin Fielding School of Public Health, UCLA, Los Angeles, CA, United States of America.
  5. Veterans Affairs Greater Los Angeles Health System, Veterans Affairs Health Services Research and Development Service Center for the Study of Healthcare Innovation, Implementation & Policy, United States of America.
  6. Palo Alto Medical Foundation, Palo Alto, CA, United States of America.
  7. Altarum Institute, Ann Arbor, MI, United States of America.

PMID: 31516814 PMCID: PMC6732720 DOI: 10.1016/j.pmedr.2019.100961

Abstract

The Diabetes Prevention Program (DPP) is a 12-month behavior change program designed to increase physical activity and improve dietary patterns among patients at risk for Type 2 diabetes, in order to facilitate modest weight loss and improve cardio-metabolic profiles. It is unknown whether baseline patient activation is related to increased DPP uptake, and whether DPP attendance leads to subsequent improvement in patient activation. We analyzed data from 352 adult participants in the Prediabetes Informed Decisions and Education (PRIDE) trial of shared decision-making (SDM) in diabetes prevention, collected from November 2015 through September 2017. PRIDE participants completed baseline and 4-month follow-up surveys, including the Altarum Consumer Engagement (ACE) Measure™ of patient activation. We tracked DPP attendance over 8 months using data from partnering DPP providers. In multivariate models, we measured whether self-reported baseline activation was associated with DPP "uptake" (1+ session attended) or DPP "attendance" (9+ sessions). We also examined whether DPP attendance was associated with change in activation at 4-months follow-up. We did not find an association between baseline activation and DPP uptake or attendance. However, we did find that DPP attendance was associated with an increase in the overall ACE score (6.68 points, 95% CI 1.97-11.39,

Keywords: Diabetes Prevention Program; Diabetes mellitus; Pharmacists; Shared decision-making

Conflict of interest statement

No conflicts of interests were reported by the authors of this paper.

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