334-OR: Implementation of a Modified Diabetes Prevention Program in WIC Clinics—A Pilot Study

Background: The aim of this study was to pilot implementation of a postpartum 8-week Diabetes Prevention Program (DPP)-like intervention in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics. Methods: Participants had gestational diabetes mellitus in their most rec...

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Published in:	Diabetes (New York, N.Y.) Vol. 72; no. Supplement_1
Main Authors:	DORANS, KIRSTEN S., SCHULTHEIS, MARY E., BRIDGEFORTH, CELIA, ALVARADO, FLOR, DANDRIDGE, ERIN, DOBSON, TARA, HE, JIANG, MARTIN, COURTNEY, MILLS, KATHERINE T., SALLES, MARTINA M., SCHOONENBERG, BROOKE, UWAIFO, GABRIEL I., BAZZANO, ALESSANDRA N., HARVILLE, EMILY
Format:	Journal Article
Language:	English
Published:	20-06-2023
Online Access:	Get full text
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Summary:	Background: The aim of this study was to pilot implementation of a postpartum 8-week Diabetes Prevention Program (DPP)-like intervention in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics. Methods: Participants had gestational diabetes mellitus in their most recent pregnancy, delivered 6 weeks-12 months prior to recruitment, and used WIC services in the New Orleans region. The following implementation strategies were tested: partnership with and buy-in from WIC, intervention tailoring, variety of health coaches, and combining in-person and online delivery with tracking tools. Results: We enrolled 20 women; 18 completed the study. Health coaches delivering the intervention included a community dietitian, a WIC nutritionist, and a WIC health educator. Average participant age was 31.5 years, 55% of participants were Black and 30% were Hispanic/Latina. Session attendance was high and most participants liked the idea of joining a 1-year DPP program and thought it would be feasible (Table). Average 2-month changes in clinical outcomes were -1.5 kg (95% CI: -3.9, 0.8 kg) for weight, 0.02% (95% CI: -0.10, 0.14%) for hemoglobin A1c, and -4.9 mg/dL (95% CI: -11.3, 1.4 mg/dL) for fasting glucose. Conclusion: Based on these findings, we are conducting a cluster randomized trial to test different implementation strategies for delivering a 1-year postpartum DPP intervention in WIC clinics. Disclosure K.S.Dorans: None. M.M.Salles: None. B.Schoonenberg: None. G.I.Uwaifo: None. A.N.Bazzano: None. E.Harville: None. M.E.Schultheis: None. C.Bridgeforth: None. F.Alvarado: None. E.Dandridge: None. T.Dobson: None. J.He: None. C.Martin: None. K.T.Mills: None. Funding National Heart, Lung, and Blood Institute (OT2HL158287); National Institute of General Medical Sciences (P20GM109036)
ISSN:	0012-1797
DOI:	10.2337/db23-334-OR