The Nutritionquest “Alive-PD” Diabetes Prevention Program
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Abstract
The Alive-PD (“Prevent Diabetes”) intervention program enables patients with diagnosed pre-diabetes to adopt the lifestyle changes that have been proven effective in reversing the progression to diabetes.
The program features a highly individualized website, Android and iPhone apps, tailored emails, an interactive voice response coaching program, and tailored mailed newsletters. The program is completely automated, and is the first of its kind to focus specifically on diabetes prevention.
The intervention distills the expertise of behavioral researchers and diabetes educators into a year-long program that automatically adapts intervention messages and program actions to reflect the level of user interaction. The system provides coaching and support throughout the process. Those with successful interactions are rewarded and encouraged, while those who find behavior change more challenging receive specialized coaching.
Features of the program include personalized activity planning tools, individualized goal setting and reporting, performance logging, specific dietary and activity advice tailored to patients' self-reported behaviors, as well as engagement features including a points system, team play and challenges. The program promotes interaction via social media and the direct support of family and friends, and also includes traditional health education articles, infographics, and self-testing quizzes.
A randomized trial of the program, conducted in collaboration with the Palo Alto Medical Foundation Research Institute (PAMFRI), began in February, 2014. 350 people are being recruited. Volunteers for the study must be members of the PAMF health care organization, have a confirmed blood test of pre-diabetes, and be overweight. They will come to a clinic in Palo Alto, CA three times to have their blood sugar levels evaluated, and to have other measurements made. Participants will be randomized to receive the Alive-PD program immediately or after a six-month delay.
Development and testing of Alive-PD is being funded in part through a Fast-Track Small Business Innovation Research grant from the US National Institute of Nursing Research. Alive-PD is based on the behavioral approaches proven effective in a previous program, Alive!.
Because it is fully automated, Alive-PD has the ability to reach very large numbers of pre-diabetics at low cost, and with little administrative burden for adopting organizations. Alive-PD is now available, to individuals and to organizations, through NutritionQuest.
The program features a highly individualized website, Android and iPhone apps, tailored emails, an interactive voice response coaching program, and tailored mailed newsletters. The program is completely automated, and is the first of its kind to focus specifically on diabetes prevention.
The intervention distills the expertise of behavioral researchers and diabetes educators into a year-long program that automatically adapts intervention messages and program actions to reflect the level of user interaction. The system provides coaching and support throughout the process. Those with successful interactions are rewarded and encouraged, while those who find behavior change more challenging receive specialized coaching.
Features of the program include personalized activity planning tools, individualized goal setting and reporting, performance logging, specific dietary and activity advice tailored to patients' self-reported behaviors, as well as engagement features including a points system, team play and challenges. The program promotes interaction via social media and the direct support of family and friends, and also includes traditional health education articles, infographics, and self-testing quizzes.
A randomized trial of the program, conducted in collaboration with the Palo Alto Medical Foundation Research Institute (PAMFRI), began in February, 2014. 350 people are being recruited. Volunteers for the study must be members of the PAMF health care organization, have a confirmed blood test of pre-diabetes, and be overweight. They will come to a clinic in Palo Alto, CA three times to have their blood sugar levels evaluated, and to have other measurements made. Participants will be randomized to receive the Alive-PD program immediately or after a six-month delay.
Development and testing of Alive-PD is being funded in part through a Fast-Track Small Business Innovation Research grant from the US National Institute of Nursing Research. Alive-PD is based on the behavioral approaches proven effective in a previous program, Alive!.
Because it is fully automated, Alive-PD has the ability to reach very large numbers of pre-diabetics at low cost, and with little administrative burden for adopting organizations. Alive-PD is now available, to individuals and to organizations, through NutritionQuest.
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