Beasley Jeannette M, Johnston Emily A, Costea Denisa, Sevick Mary Ann, Rogers Erin S, Jay Melanie, Zhong Judy, Chodosh Joshua
Department of Nutrition and Food Studies, New York University Steinhardt School of School of Culture, Education, and Human Development, New York, NY, United States.
Department of Medicine, New York University Grossman School of Medicine, New York, NY, United States.
JMIR Form Res. 2023 Aug 29;7:e45004. doi: 10.2196/45004.
Prediabetes affects 26.4 million people aged 65 years or older (48.8%) in the United States. Although older adults respond well to the evidence-based Diabetes Prevention Program, they are a heterogeneous group with differing physiological, biomedical, and psychosocial needs who can benefit from additional support to accommodate age-related changes in sensory and motor function.
The purpose of this paper is to describe adaptations of the Centers for Disease Control and Prevention's Diabetes Prevention Program aimed at preventing diabetes among older adults (ages ≥65 years) and findings from a pilot of 2 virtual sessions of the adapted program that evaluated the acceptability of the content.
The research team adapted the program by incorporating additional resources necessary for older adults. A certified lifestyle coach delivered 2 sessions of the adapted content via videoconference to 189 older adults.
The first session had a 34.9% (38/109) response rate to the survey, and the second had a 34% (30/88) response rate. Over three-quarters (50/59, 85%) of respondents agreed that they liked the virtual program, with 82% (45/55) agreeing that they would recommend it to a family member or a friend.
This data will be used to inform intervention delivery in a randomized controlled trial comparing in-person versus virtual delivery of the adapted program.
在美国，2640万65岁及以上的老年人（占48.8%）患有糖尿病前期。尽管老年人对循证糖尿病预防计划反应良好，但他们是一个异质性群体，有着不同的生理、生物医学和社会心理需求，需要额外的支持来适应与年龄相关的感觉和运动功能变化。
本文旨在描述美国疾病控制与预防中心的糖尿病预防计划针对老年人（年龄≥65岁）预防糖尿病的调整内容，以及对该调整计划的2次虚拟课程进行试点评估内容可接受性的结果。
研究团队通过纳入老年人所需的额外资源对该计划进行了调整。一名获得认证的生活方式教练通过视频会议向189名老年人进行了2次调整内容的授课。
第一次课程的调查回复率为34.9%（38/109），第二次为34%（30/88）。超过四分之三（50/59，85%）的受访者表示喜欢这个虚拟课程，82%（45/55）的受访者表示会向家人或朋友推荐。
这些数据将用于为一项随机对照试验中的干预实施提供信息，该试验比较了调整后的计划采用面对面授课与虚拟授课的效果。
