No CrossRef data available.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
Published online by Cambridge University Press: 27 March 2025
The study examined the impact of the Diabetes Prevention and Management program on dietary tracking, changes in dietary behavior, glycosylated hemoglobin (HbA1c) and weight loss over six months among rural adults with type 2 diabetes and prediabetes. The program was a health coach (HC)-led, community-based lifestyle intervention.
The study used an explanatory sequential quantitative and qualitative design to gain insight on participant’s dietary behavior and macronutrient consumption as well as experience with food tracking. Five of the 22 educational sessions focused on dietary education. Participants were taught strategies for healthy eating and dietary modification. Trained HCs delivered the sessions and provided weekly feedback to food journals.
Obese adults with type 2 diabetes or prediabetes (n=94) participated in the program and fifty-six (66%) completed dietary tracking (optional) for six months. Twenty-two participated in three focus groups.
Fifty-nine percent consistently completed food journals. At 6 months, average diet self-efficacy and dietary intake improved, and average weight loss was 4.58 ± 9.14lbs. Factors associated with weight loss included attendance, consistent dietary tracking, higher HbA1c, diabetes status, and calorie intake (Adjusted R2 = 43.5%; F=.003). Focus group participants reported the program improved eating habits. Consistency of dietary tracking was cumbersome yet was beneficial for making better choices and key to being honest.
Participants who consistently tracked their diet improved dietary self-efficacy and intake over six months. This model has the potential to be reproduced in other rural regions of the United States.
You have
Access
Open access
To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.
To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.