Clinical Study

Baseline Obesity Status Modifies Effectiveness of Adapted Diabetes Prevention Program Lifestyle Interventions for Weight Management in Primary Care

Table 1

E-LITEa intervention: key components and features.

Coach-led interventionSelf-directed intervention

(1) 12-week core curriculum sessionsbClinic-based, small groups Home-based DVD
(2) Online self-monitoring of weight and physical activitycPreferably daily but at least twice weekly; coach routinely reviewed records Preferably daily but at least twice weekly; coach did not routinely review records
(3) Personalized lifestyle coachingdProactive, coach-initiatedAs needed, patient-initiated

E-LITE: Evaluation of lifestyle interventions to treat elevated cardiometabolic risk in primary care.
Diabetes Prevention Program (DPP) investigators at the University of Pittsburgh developed the Group Lifestyle Balance (GLB) program following the DPP trial [13]. Its curriculum is publicly available online [14].
Via the American Heart Association’s free, secure Heart360 Web portal (http://www.heart360.org/).
Via secure provider-patient online messaging embedded in a fully functional electronic health record system. Coaches could view Heart360 patient self-monitoring records, which they reviewed regularly and used to tailor their ongoing progress feedback via secure messaging for participants in the coach-led intervention.