Reach and Weight Loss Among Comparison Group Participants Who Enrolled in the Active Intervention After a Diabetes Prevention Trial.

IF 4.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Preventing Chronic Disease Pub Date : 2024-06-06 DOI:10.5888/pcd21.230358
Tzeyu L Michaud, Cleo Zagurski, Kathryn E Wilson, Gwenndolyn C Porter, George Johnson, Paul A Estabrooks
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Abstract

We examined participation rates, engagement, and weight-loss outcomes of comparison group participants in a diabetes prevention trial who enrolled in a digitally delivered diabetes prevention program (ie, an active intervention) after the original trial ended. We evaluated these outcomes by using the Wilcoxon signed-rank test and 1-sample z test. We found a high participation rate (73%) among comparison group participants and comparable weight-loss outcomes at 12 months (6.8 lb) after initiating participation in the active intervention relative to intervention group participants during the original trial. Findings support providing evidence-based interventions for comparison or control group participants post-trial. Findings also support examining the cost-effectiveness of post-trial interventions, regardless of the limitations of acquiring post-trial data on weight in an uncontrolled setting.

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参加糖尿病预防试验后积极干预的对比组参与者的达标率和体重减轻情况。
我们研究了糖尿病预防试验中对比组参与者的参与率、参与度和体重减轻结果,这些参与者在原试验结束后参加了一个数字交付的糖尿病预防项目(即主动干预)。我们使用 Wilcoxon 符号秩检验和单样本 z 检验对这些结果进行了评估。我们发现,对比组参与者的参与率很高(73%),而且在开始参与主动干预后的 12 个月内(6.8 磅),体重减轻的结果与原始试验期间干预组参与者的结果相当。研究结果支持在试验后为对比组或对照组参与者提供循证干预。研究结果还支持研究试验后干预措施的成本效益,而不考虑在不受控制的环境中获取试验后体重数据的局限性。
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来源期刊
Preventing Chronic Disease
Preventing Chronic Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.70
自引率
3.60%
发文量
74
期刊介绍: Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.
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