{"doi":"10.2337/cd21-0114","title":"Evaluating the Implementation of a Digital Diabetes Prevention Program in an Integrated Health Care Delivery System Among Older Adults: Results of a Natural Experiment","abstract":"The purpose of this natural experiment study was to assess the effectiveness of a 12-month digital Diabetes Prevention Program (DPP) for adults aged 65-75 years with prediabetes and obesity within a large, integrated health care system. Adjusting for propensity scores and covariates, patients who enrolled and participated in the digital DPP had a mean weight loss of 8.6 lb over 12 months and 5.7 lb by 24 months, compared with a steady, minimal weight loss of 1.3 lb over 12 months and 2.8 lb by 24 months among patients not enrolled. There was a significant difference in mean change in A1C between enrolled and nonenrolled patients over 12 months (-0.10%), but not by 24 months (-0.06%). Digital DPP appears to be an effective weight loss option and potential diabetes prevention intervention for older adults at high risk for type 2 diabetes.","journal":"Clinical Diabetes","year":2022,"id":283291,"datarank":0.3843324984287242,"base_score":1.9459101490553132,"endowment":1.9459101490553132,"self_citation_contribution":0.29188652235829704,"citation_network_contribution":0.09244597607042716,"self_endowment_contribution":0.29188652235829704,"citer_contribution":0.09244597607042716,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":5,"citers_with_citation_signal":3,"citers_with_endowment":3,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9539,"is_data_producer":true,"deposit_databanks":{"figshare":["10.2337/figshare.19252148"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":415417,"name":"Meghan Mayhew","orcid":"0000-0002-9469-2188","position":1,"is_corresponding":false},{"id":442177,"name":"Andreea M. Rawlings","orcid":"0000-0002-4903-7360","position":2,"is_corresponding":false},{"id":546491,"name":"Ning Smith","orcid":null,"position":3,"is_corresponding":false},{"id":503324,"name":"Denis B. Nyongesa","orcid":"0009-0006-7815-7966","position":4,"is_corresponding":false},{"id":377199,"name":"William M. Vollmer","orcid":"0000-0003-1216-323X","position":5,"is_corresponding":false},{"id":386548,"name":"Victor J. Stevens","orcid":null,"position":6,"is_corresponding":false},{"id":960151,"name":"Sarah K. Grall","orcid":null,"position":7,"is_corresponding":false},{"id":361487,"name":"Stephen P. Fortmann","orcid":"0000-0002-1327-9341","position":8,"is_corresponding":false},{"id":959707,"name":"Stephanie L. Fitzpatrick","orcid":"0000-0003-2740-5502","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T00:29:23.777809Z","pmid":"35983414","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}