--- title: "Diabetes Prevention Program attendance & patient activation. | Sutter Health" description: "Finding of increased patient activation with DPP attendance suggests a mechanism for the improved health outcomes seen in DPP real-world translational studies." url: "https://www.sutterhealth.org/research/publications/diabetes-prevention-program-attendance-patient-activation-1055312692" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Diabetes Prevention Program attendance & patient activation. # Diabetes Prevention Program attendance is associated with improved patient activation: results from the Prediabetes Informed Decisions and Education (PRIDE) study. Skrine Jeffers K, Castellon-Lopez Y, Grotts J, Mangione CM, Moin T, Tseng CH, Turk N, Frosch DL, Norris KC, Duke CC, Moreno G, & Duru OK. _Prev Med Rep. 16:100961. doi: 10.1016/j.pmedr.2019.100961. eCollection 2019 Dec._ 2019-07-22 ## Abstract The Diabetes Prevention Program (DPP) is a 12-month behavior change program designed to increase physical activity and improve dietary patterns among patients at risk for Type 2 diabetes, in order to facilitate modest weight loss and improve cardio-metabolic profiles. It is unknown whether baseline patient activation is related to increased DPP uptake, and whether DPP attendance leads to subsequent improvement in patient activation. We analyzed data from 352 adult participants in the Prediabetes Informed Decisions and Education (PRIDE) trial of shared decision-making (SDM) in diabetes prevention, collected from November 2015 through September 2017. PRIDE participants completed baseline and 4-month follow-up surveys, including the Altarum Consumer Engagement (ACE) Measure™ of patient activation. We tracked DPP attendance over 8?months using data from partnering DPP providers. In multivariate models, we measured whether self-reported baseline activation was associated with DPP "uptake" (1+ session attended) or DPP "attendance" (9+ sessions). We also examined whether DPP attendance was associated with change in activation at 4-months follow-up. We did not find an association between baseline activation and DPP uptake or attendance. However, we did find that DPP attendance was associated with an increase in the overall ACE score (6.68 points, 95% CI 1.97-11.39, p?=?0.005) and increased activation in 2 of the 3 ACE subscales (Commitment and Informed Choice). Our finding of increased patient activation with DPP attendance suggests a mechanism for the improved health outcomes seen in DPP real-world translational studies. This work has important implications for diabetes prevention and other behavior change programs. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/31516814) ## Research topics - [Diabetes Type 2](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Diabetes+Type+2%5C%22%22) - [Diabetes, Insulin Resistance and Metabolic Syndrome](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Diabetes%2C+Insulin+Resistance+and+Metabolic+Syndrome%5C%22%22) - [Prevention and Health Maintenance](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Prevention+and+Health+Maintenance%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Examining paradoxical session attendance and weight loss relationships in a clinic based lifestyle modification intervention](https://www.sutterhealth.org/research/publications/paradoxical-session-attendance-weight-loss-relationships-1055312915) Kristen M. J. Azar, Sylvia Sudat, Qiwen Huang, Alice P. Pressman, Nina K. Szwerinski, Catherine Nasrallah, Elizabeth M. Venditti, Robert J. Romanelli Examining paradoxical session attendance and weight loss relationships in a clinic-based lifestyle modification intervention.Obes Sci Pract. 2023; 2023 Jul 04 - Publication ### [Early weight loss and treatment response: data from a lifestyle change program in clinical practice.](https://www.sutterhealth.org/research/publications/early-wt-loss-and-tx-response-in-lifestyle-change-program-1055312721) Romanelli RJ, Sudat S, Huang Q, Pressman AR, Azar K. Am J Prev Med. pii: S0749-3797(19)30421-0. doi: 10.1016/j.amepre.2019.09.014. \[Epub ahead of print\] 2019 Dec 20 - Publication ### [Implementation of a group-based diabetes prevention program within a healthcare delivery system.](https://www.sutterhealth.org/research/publications/group-based-dm-prevention-in-healthcare-delivery-system-1055312659) Azar KMJ, Nasrallah C, Szwerinski NK, Petersen JJ, Halley MC, Greenwood D, Romanelli RJ. BMC Health Serv Res. 19(1):694. doi: 10.1186/s12913-019-4569-0. 2019 Oct 15 - Publication ### [CM-SHARE: Development, integration, and adoption of an electronic health record-linked digital health solution to support care for diabetes in primary care.](https://www.sutterhealth.org/research/publications/ehr-linked-app-to-support-diabetes-care-in-primary-care-1055312811) Jones JB, Liang S, Husby HM, Delatorre-Reimer JK, Mosser CA, Hudnut AG, Knobel K, MacDonald K, Yan XS. Clin Diabetes. 37(4):338-346. doi: 10.2337/cd18-0057. 2019 Oct 01 - Publication ### [Longitudinal weight outcomes from a behavioral lifestyle intervention in clinical practice.](https://www.sutterhealth.org/research/publications/weight-outcomes-from-behavioral-lifestyle-intervention-1055312674) Romanelli RJ, Huang HC, Chopra V, Ma J, Venditti EM, Sudat S, Greenwood DA, Pressman AR, Azar KMJ. Diabetes Educ. 145721719872553. doi: 10.1177/0145721719872553. \[Epub ahead of print\] 2019 Sep 03 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/diabetes-prevention-program-attendance-patient-activation-1055312692#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Diabetes Prevention Program attendance & patient activation."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/diabetes-prevention-program-attendance-patient-activation-1055312692#medicalscholarlyarticle","name":"Diabetes Prevention Program attendance is associated with improved patient activation: results from the Prediabetes Informed Decisions and Education (PRIDE) study.","headline":"Diabetes Prevention Program attendance & patient activation.","abstract":"The Diabetes Prevention Program (DPP) is a 12-month behavior change program designed to increase physical activity and improve dietary patterns among patients at risk for Type 2 diabetes, in order to facilitate modest weight loss and improve cardio-metabolic profiles. It is unknown whether baseline patient activation is related to increased DPP uptake, and whether DPP attendance leads to subsequent improvement in patient activation. We analyzed data from 352 adult participants in the Prediabetes Informed Decisions and Education (PRIDE) trial of shared decision-making (SDM) in diabetes prevention, collected from November 2015 through September 2017. PRIDE participants completed baseline and 4-month follow-up surveys, including the Altarum Consumer Engagement (ACE) Measure™ of patient activation. We tracked DPP attendance over 8?months using data from partnering DPP providers. In multivariate models, we measured whether self-reported baseline activation was associated with DPP \"uptake\" (1+ session attended) or DPP \"attendance\" (9+ sessions). We also examined whether DPP attendance was associated with change in activation at 4-months follow-up. We did not find an association between baseline activation and DPP uptake or attendance. However, we did find that DPP attendance was associated with an increase in the overall ACE score (6.68 points, 95% CI 1.97-11.39, p?=?0.005) and increased activation in 2 of the 3 ACE subscales (Commitment and Informed Choice). Our finding of increased patient activation with DPP attendance suggests a mechanism for the improved health outcomes seen in DPP real-world translational studies. 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