Evaluation of a Digital Diabetes Prevention Program Adapted for Low-Income Patients, 2016–2018

Abstract

Introduction We examined the effects of a digitally delivered, type 2 diabetes mellitus prevention program (DPP) for a low-income population. Methods We conducted a nonrandomized clinical trial with matched controls. The intervention group was offered a digital DPP, a web-based and mobile-based program including 52 weeks of participation in an educational curriculum, health coaching, and peer support. Results A total of 227 participants enrolled. At baseline, 34.6 was the mean body mass index, and 5.8 was the mean HbA1c. For the intervention group, mean weight loss was 4.4% at the 12-month follow-up. Conclusion The modified DPP successfully engaged participants and resulted in weight loss. Low-income patients with prediabetes benefitted from a digitally delivered diabetes intervention. This prevention method should be accessible to a low-income population.