Item Details

title

THE ROLE OF ENGAGEMENT IN A DIGITAL DIABETES PREVENTION PROGRAM FOR ADULTS AT HIGH RISK FOR DIABETES

author

Lievense, Kristy Kay

abstract

Objective: To examine the role of engagement in a digital diabetes prevention program on the outcomes of HbA1c reduction and body weight loss.Methods: Data from the PREDICTS (Preventing Diabetes with Digital Health and Coaching for Translation and Scalability) trial were used for this study. The analysis included a total of 299 individuals who were at high risk of developing diabetes (mean age 55.3, 61.5% female, 91.3% White). Participants were randomized to either a digital diabetes prevention program (d-DPP) or the control group, which was a one-time small group diabetes prevention education session (SGE). Total engagement was considered a week where: 1) weight was logged, 2) a session was completed, and 3) there was a social interaction or meal logged. Quartiles for total engagement were created to categorize participant’s engagement level in the intervention. Results: Engagement was positively associated with age, but not associated with any other demographic variable. Multivariate analyses indicated that total engagement was a significant predictor of weight loss (R2 adj=0.22; p<.05) as well as HbA1c reduction (R2 adj=0.19; p<.05). Logistic regression showed that compared to the least engaged participants, the greater the participants engaged in the digital intervention, the more likely they would achieve clinically meaningful weight loss (5%). Conclusion: Greater levels of engagement in a digital diabetes prevention program can lead to positive outcomes. Additionally, digital delivery of diabetes prevention programs can be effective in reducing risk of developing diabetes, therefore increasing reach and dissemination of such programming.

contributor

Katula, Jeffrey (committee chair)

Miller, Gary (committee member)

Fanning, Jason (committee member)

date

2022-05-24T08:36:02Z (accessioned)

2023-05-23T08:30:15Z (available)

2022 (issued)

degree

Health and Exercise Science (discipline)

embargo

2023-05-23 (terms)

identifier

http://hdl.handle.net/10339/100735 (uri)

language

en (iso)

publisher

Wake Forest University

type

Thesis