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The Diabetes Educator

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Health Promotion Practice
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Translating Efficacious Behavioral Principles for Diabetes Prevention Into Practice

Renae L. Smith-Ray, MA

University of Edinburgh, in Edinburgh, United Kingdom

Fabio A. Almeida, MSW

Kaiser Permanente of Colorado and the University of Denver in Denver, Colorado

Jennifer Bajaj, MD, MPH

Kaiser Permanente in Denver, Colorado

Sally Foland, RN, BSN

Kaiser Permanente in Denver, Colorado

Michele Gilson, MS, RD

Kaiser Permanente in Denver, Colorado

Susan Heikkinen, MS, RD, CDE

Kaiser Permanente in Denver, Colorado

Helen Seagle, MS, RD

Kaiser Permanente in Denver, Colorado

Paul A. Estabrooks, PhD

Kaiser Permanente in Denver, Colorado

This case study describes the process of translating efficacy-based Diabetes Prevention Program principles into a practical format for delivery within a managed care organization. Using Rogers' innovation-decision process model, the authors tracked the adoption, implementation, and short-term effectiveness of a clinical program. Effectiveness was documented using a pre-post design to detect changes in physical activity and dietary habits. Participants (N = 298) were Kaiser Permanente of Colorado patients enrolled in diabetes-prevention classes. Changes were analyzed using paired-samples t tests and one-way analysis of variance. Participants significantly increased reported minutes of moderate (p < .001, µ = 84.52, CI: 58.44-110.61) and vigorous (t = 2.220, p = .028, µ = 19.05, CI: 2.10-36.00) physical activity and their daily servings of fruits and vegetables (p < .001, µ = 0.20, CI: 0.13-0.27). By identifying the underlying strategies that led to efficacy, professionals can implement sound diabetes-prevention programs that fit within their context.

Key Words: diabetes prevention • translational research • physical activity • healthy eating • innovation-decision process model

This version was published on January 1, 2009

Health Promotion Practice, Vol. 10, No. 1, 58-66 (2009)
DOI: 10.1177/1524839906293397
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