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The Diabetes Educator

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Health Promotion Practice
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*Diabetes
*Managed Care
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Article

Translating Efficacious Behavioral Principles for Diabetes Prevention Into Practice

Renae L. Smith-Ray, MA1, Fabio A. Almeida, MSW2, Jennifer Bajaj, MD, MPH2, Sally Foland, RN, BSN2, Michele Gilson, MS, RD2, Susan Heikkinen, MS, RD, CDE2, Helen Seagle, MS, RD2, Paul A. Estabrooks, PhD2*

1 University of Edinburgh
2 Kaiser Permanente Colorado

* To whom correspondence should be addressed. E-mail: paul.a.estabrooks{at}kp.org.


  Abstract
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 offruits 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.

First published on May 9, 2007, doi:10.1177/1524839906293397

Health Promotion Practice 2009;10:58.

A more recent version of this article appeared on January 1, 2009

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