Clinical Studies and Research, Lark Health, Mountain View, California, USA.
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, California, USA.
Popul Health Manag. 2022 Aug;25(4):441-448. doi: 10.1089/pop.2021.0283. Epub 2022 Feb 24.
The National Diabetes Prevention Program (NDPP) offers lifestyle change education to adults at risk for diabetes across the United States, but its reach is curbed due, in part, to limitations of traditional in-person programs. Diabetes Prevention Programs (DPPs) that are fully digital may increase reach by overcoming these barriers. The aim of this research was to examine the reach of Lark's DPP, a fully digital artificial-intelligence-powered DPP. This study assessed geographic features and demographic characteristics of a sample of Lark DPP commercial health plan members with complete data ( = 16,327) and compared several demographic features with a large composite sample of members from DPPs across the nation (NDPP; = 143,489) and a National Health Interview Survey (NHIS) sample of prediabetic adults in the United States (NHIS; = 2118). Examination of the Lark DPP sample revealed that 24.4% of members lived in rural areas, 30.8% lived in whole county health professional shortage areas, and only 7.6% of members lived in a zip code with an in-person DPP. When comparing the Lark sample with the NDPP and NHIS samples, Lark DPP enrollees tended to be younger and have a higher body mass index (BMI) (s < 0.001). Lark provides convenient access to a DPP for individuals living in hard-to-reach areas who may face barriers to participating in in-person or telephonic DPPs or who prefer a digital program. Compared with the NDPP sample, Lark is also reaching younger and higher BMI users, who are traditionally difficult to enroll and have a high need for intervention.
美国国家糖尿病预防计划（NDPP）为有糖尿病风险的成年人提供生活方式改变教育，但由于传统的面对面项目存在局限性，其覆盖范围受到限制。完全数字化的糖尿病预防计划（DPP）可能会通过克服这些障碍来扩大覆盖范围。本研究旨在研究 Lark 的 DPP 的覆盖范围，这是一个完全数字化的人工智能驱动的 DPP。本研究评估了 Lark DPP 商业健康计划中具有完整数据的成员样本的地理特征和人口统计学特征（ = 16,327），并将几个人口统计学特征与全国 DPP （NDPP； = 143,489）和美国全国健康访谈调查（NHIS）的糖尿病前期成年人样本（NHIS； = 2118）的大型综合样本进行了比较。对 Lark DPP 样本的检查表明，24.4%的成员居住在农村地区，30.8%居住在整个县卫生专业人员短缺地区，只有 7.6%的成员居住在有面对面 DPP 的邮政编码区。当将 Lark 样本与 NDPP 和 NHIS 样本进行比较时，Lark DPP 参与者往往更年轻，体重指数（BMI）更高（s < 0.001）。对于居住在难以到达地区的个人，Lark 为他们提供了一种方便的方式来获得 DPP，这些人可能面临参加面对面或电话 DPP 的障碍，或者更喜欢数字项目。与 NDPP 样本相比，Lark 还吸引了更年轻和更高 BMI 的用户，这些用户传统上难以注册，并且非常需要干预。
