Preventing diabetes with digital health and coaching for translation and scalability (PREDICTS): A type 1 hybrid effectiveness-implementation trial protocol.
Contemp Clin Trials
; 88: 105877, 2020 01.
Article
em En
| MEDLINE
| ID: mdl-31682941
ABSTRACT
BACKGROUND:
Diabetes prevention remains a top public health priority; digital approaches are potential solutions to existing scalability and accessibility challenges. There remains a gap in our understanding of the relationship between effectiveness, costs, and potential for sustained implementation of digital diabetes prevention strategies within typical healthcare settings.PURPOSE:
To describe the methods and design of a type 1 hybrid effectiveness-implementation trial of a digital diabetes prevention program (DPP) using the iPARIHS and RE-AIM frameworks.METHODS:
The trial will contrast the effects of two DPPinterventions:
(1) small group, in-person class, and (2) a digital DPP consisting of small group support, personalized health coaching, digital tracking tools, and weekly behavior change curriculum. Each intervention includes personal action planning with a focus on key elements of the lifestyle intervention from the CDC National DPP. Adults at risk for diabetes (BMI ≥25 and 5.7%â¯≤â¯HbA1câ¯≤â¯6.4) will be randomly assigned to either the intervention group (nâ¯=â¯241) or the small group (nâ¯=â¯241). Assessment of primary (HbA1c) and secondary (weight loss, costs, cardiovascular risk factors) outcomes will occur at baseline, 4, and 12â¯months. Additionally, the trial will explore the potential for future adoption, implementation, and sustainability of the digitally-based intervention within a regional healthcare system based on key informant interviews and assessments of organizational administrators and primary care physicians.CONCLUSION:
This trial of a digital DPP will allow the research team to determine the relationships between reach, effectiveness, implementation, and costs.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apoio Social
/
Terapia Comportamental
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Comportamento de Redução do Risco
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Diabetes Mellitus Tipo 2
/
Tutoria
/
Ciência da Implementação
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Intervenção Baseada em Internet
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
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Risk_factors_studies
/
Sysrev_observational_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article