Abstract
This study assessed the baseline knowledge, perceptions, attitudes and behaviors of prediabetes patients in order to tailor a new technology-enhanced primary care-based lifestyle modification intervention. Patients with a diagnosis of prediabetes were enrolled in a randomized, controlled pilot study, Avoiding Diabetes Thru Action Plan Targeting (ADAPT), a technology-based intervention to promote action plan discussions around patient-selected behavior change goals. A total of 54 adults (82% female) were enrolled in the pilot study. Most (89%) had comorbid conditions and mean BMI was 36. Participants exhibited high risk of diabetes knowledge (knowledge score 20 on a 32 point scale) and high levels of willingness to make changes to decrease diabetes risk. Number of daily steps was inversely correlated with perceived physical activity (r=-0.35082, p<0.001). Poorer scores on diet quality were inversely correlated with BMI. Participants in this sample demonstrated requisite levels of knowledge, self-efficacy, motivation and risk perception for effective behavior change. These data suggest that primary care-based prediabetes interventions can move beyond educational goals and focus on enhancing patients' ability to select, plan and enact action plans.
Highlights
In the United States, 25.8 million adults have type 2 diabetes mellitus (T2DM), and another 79 million adults are affected by prediabetes.[1]
Prediabetes alone has been associated with increased risk of cardiovascular disease,[4,5,6,7] chronic kidney disease,[8] retinopathy,[9] and neuropathy.[10]
Our data suggest that contrary to common assumptions, patients enrolling in primary care-based prediabetes interventions are well-informed about their condition and exhibit high levels of risk perception, self-efficacy and motivation to change
Summary
In the United States, 25.8 million adults have type 2 diabetes mellitus (T2DM), and another 79 million adults are affected by prediabetes.[1] Data from the 2007-2009 National Health Interview Survey and National Patient Information Reporting System reveal a disproportionately higher prevalence of diabetes among African Americans, Hispanics, and Asian Americans.[2] The rising incidence of diabetes in the US is a public health concern with serious medical and financial implications. Individuals with prediabetes are at high risk of developing diabetes and associated comorbid complications. Prediabetes alone has been associated with increased risk of cardiovascular disease,[4,5,6,7] chronic kidney disease,[8] retinopathy,[9] and neuropathy.[10]
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