Patient-centered Goal Setting in the National Diabetes Prevention Program (NDPP-Flex)
PreDiabetes
About this trial
This is an interventional prevention trial for PreDiabetes
Eligibility Criteria
Inclusion Criteria:
- Established patient at Denver Health
- Age ≥18 years
- English- or Spanish-speaking
- Prediabetes (as defined by A1C of 5.7-6.4%)
- BMI ≥20 kg/m2 (≥18.5 kg/m2 if identifying as Asian)
Exclusion Criteria:
- Currently pregnant
- Prior participation in the NDPP
- Anti-hyperglycemic medication (e.g., metformin)
- Diabetes (type 1 or 2)
- BMI <20 kg/m2 (<18.5 kg/m2 if identifying as Asian)
Sites / Locations
- Denver HealthRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
National Diabetes Prevention Program
NDPP-Flex
The Diabetes Prevention Program was a successful clinical trial demonstrating that intensive lifestyle support for weight loss reduced diabetes incidence by 58%. The intervention was translated into the National Diabetes Prevention Program (NDPP) and disseminated by the Centers for Disease Control and Prevention as a yearlong group-based program since 2012.
NDPP-Flex. The primary difference between NDPP-Flex and the standard NDPP is the approach to goal setting. In NDPP-Flex, coaches use the latest CDC-published curriculum, but adapted such that participants are encouraged to 1) set attainable, individually-tailored goals for risk-reduction, 2) adjust goals over time as needed, and 3) avoid all-or-nothing assessments of goal attainment. At each session, coaches provide a goal setting worksheet (see excerpt) with a simple, fillable format to better accommodate low literacy (e.g., "I will limit my soda and sugary drinks to __ per day").