{"doi":"10.59586/jsrc.v8i1.259","title":"Evaluation of a Diabetes Prevention Program Implementation in a Student-Run Free Clinic Setting","abstract":"Introduction: The Diabetes Prevention Program (DPP) can prevent or delay the development of type 2 diabetes in at-risk individuals. Although low-resource and minority communities have higher rates of type 2 diabetes, these communities often have limited DPP participation due to cost and program accessibility. We evaluated whether a high-fidelity, reduced-cost 16-week DPP could feasibly be implemented by student volunteers and be effective in facilitating the target 5% weight loss goal among participants. 
 Methods: Uninsured, Spanish-speaking participants and their invited guests were recruited from Vanderbilt University Medical Center’s student-run clinic. Weekly DPP sessions were conducted using the CDC’s Prevent T2 curriculum in Spanish, delivered in-person for 6 weeks and virtually for the remaining 10 weeks due to the Coronavirus Disease 2019 pandemic. Participant attendance and weight data were collected. Pre- and post-program health-related quality of life was assessed using the EuroQoL 5D5L tool, and qualitative program feedback surveys were administered. Changes in weight and quality of life as a function of program session attendance and patient demographics were determined primarily using Wilcoxon tests.
 Results: Of the 17 participants actively engaged in the student-led DPP, 13 were clinic patients and 4 were invited guests. The median weight loss achieved by participants was 5.90% of their total body weight. 13 of the 17 participants (76.50%) achieved the 5% weight loss goal. Age, sex, pre-program body mass index, and English proficiency were not associated with the achievement of the 5% weight loss goal. Though not statistically significant, patients’ average self-scored general health rating (0-100) improved from 72.30 to 81.50 (p=0.12), and the greatest reductions in health limitations were reported with regards to pain (1.94 to 1.70, p=0.28) and daily activities (1.53 to 1.35, p=0.36).
 Conclusion: A student-run DPP implementation among low-resource participants is feasible and appears capable of achieving the target 5% weight loss.","journal":"Journal of Student-Run Clinics","year":2022,"id":294871,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9505,"is_data_producer":false,"deposit_databanks":null,"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":497981,"name":"Jeremy B. Hatcher","orcid":"0000-0001-6762-1010","position":1,"is_corresponding":false},{"id":980592,"name":"Carolina Gomez Grimaldi","orcid":"0000-0002-1719-1021","position":2,"is_corresponding":false},{"id":980593,"name":"Nicole Kloosterman","orcid":"0000-0003-4928-0923","position":3,"is_corresponding":false},{"id":955821,"name":"Daniel Carranza-León","orcid":"0000-0003-2491-2146","position":4,"is_corresponding":false},{"id":530513,"name":"Xuanyi Li","orcid":"0000-0003-3943-4642","position":5,"is_corresponding":false},{"id":555874,"name":"Lina Sulieman","orcid":"0000-0002-2680-8230","position":6,"is_corresponding":false},{"id":427713,"name":"Rosette J. Chakkalakal","orcid":"0000-0001-9318-1856","position":7,"is_corresponding":false},{"id":264402,"name":"Kevin D. Niswender","orcid":"0000-0001-6994-8738","position":8,"is_corresponding":false},{"id":980931,"name":"Meredith Huszagh","orcid":null,"position":0,"is_corresponding":true}],"reference_count":23,"raw_metadata":null,"created_at":"2026-07-19T00:31:05.260069Z","pmid":null,"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":[]}