481-P: Risk Assessment among Organizations Participating in the National Diabetes Prevention Program (National DPP) Lifestyle Change Program

Abstract

The National DPP is a partnership of public and private organizations working to build a nationwide delivery system for a lifestyle change program (LCP) proven to prevent or delay onset of type 2 diabetes in adults with prediabetes. The CDC’s Diabetes Prevention Recognition Program (DPRP) recognizes organizations that deliver the 12-month LCP. Organizations can achieve three levels of recognition—pending, preliminary, or full—which reflect their ability to meet national quality standards. Identifying factors that impact organizations’ ability to meet these standards provides opportunities to strengthen their program delivery. This study aims to compare program enrollment and retention among in-person LCP participants in organizations that have achieved preliminary or full recognition to that of organizations that withdrew from the DPRP. Analysis was limited to the 109,201 eligible participants who had the opportunity to complete the 12-month program by March 2020. Among the 862 organizations that had achieved preliminary or full recognition, the average enrollment per 6-month period was 31 participants. However, the average enrollment per 6-month period among the 335 withdrawn organizations was 19 participants. Among organizations that achieved preliminary or full recognition, 60% of participants were retained for ≥9 months. Among withdrawn organizations, however, only 44% of participants were retained for ≥9 months. Among organizations that achieved preliminary or full recognition, the average number of sessions attended in the first and second 6-month phases was 14 and 6, respectively. For withdrawn organizations, however, the average number of sessions attended in the first and second phases was 13 and 3 sessions, respectively. Knowing that withdrawn organizations struggled with enrollment and retention provides a starting point for identifying strategies to assist these organizations. Disclosure R. Jabrah: None. E. Ely: None.