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Long-term maintenance of healthy lifestyle practices in DPP translation: Evaluation of adherence, barriers, and strategies

Slowik, Rafal (2014) Long-term maintenance of healthy lifestyle practices in DPP translation: Evaluation of adherence, barriers, and strategies. Master Essay, University of Pittsburgh.

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The Diabetes Prevention Program (DPP) demonstrated that type 2 diabetes can be prevented or delayed through behavioral lifestyle modification. Due to the success of the DPP lifestyle intervention, multiple effective translation efforts have been completed in the community; however long-term data regarding healthy lifestyle practices after such intervention is lacking. The current study aimed to assess long-term adherence and barriers to healthy lifestyle goals among participants who had completed a DPP translation study. In addition, participants’ perception regarding strategies for long term maintenance of healthy lifestyle practices was assessed. A total of 156 individuals who attended ≥ 4/16 of the adapted DPP program core sessions and had not formally withdrawn from the study were contacted and asked to complete a brief survey; 73 (47%) individuals completed the survey and 65 (42%) had data for all assessment time-points (baseline, 6MO, 12MO and follow-up 24-36MO). Mean weight loss for this group at 6-months from baseline was 6.2 kg (-6.6%), and at 12-months was 6.1 kg (-6.4%); self-reported weight at follow up was 4.8 kg (-5.1%). Approximately 62% of participants reported increased physical activity levels at 6-months from baseline (+95.0 min/week (60.0, 135.0), 60% at 12-months (+90.0 min/week (60.0, 150.0), and 48% at follow-up (+90 min/week (45.0, 225.0). Frequently reported barriers for maintaining or reaching healthy eating and physical activity goals were self-motivation and time/scheduling issues; injury/illness was another frequently reported barrier for physical activity. The strategies reported most frequently as useful for long-term maintenance of healthy practices included in-person meetings and self-monitoring of fat/calorie intake. These results suggest that although weight loss and increased physical activity continued to be observed over time in this group, some weight regain and decrease in physical activity occurred. The current study is important from a public health perspective as it is the first DPP-based translation follow-up study to provide long-term information about adherence and perceived barriers in individuals who have completed an adapted DPP intervention 24-36 months from baseline. This information and the strategies identified will aid in development of programs to promote long-term healthy lifestyle practices after completing a community DPP intervention.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Slowik, RafalRAS192@pitt.eduRAS192
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairKramer, M Kayekramerk@edc.pitt.eduMKK3UNSPECIFIED
Committee MemberKriska, Andrea MKriskaA@edc.pitt.eduAKYUNSPECIFIED
Committee MemberArena, Vincent Carena@pitt.eduARENAUNSPECIFIED
Date: 6 August 2014
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 14 Nov 2014 15:15
Last Modified: 01 Sep 2023 10:55


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