Bringing the DPP to Geriatric Populations
Over 24 million Americans are =65 years and have prediabetes. Prediabetes can be addressed using a public health approach: among the 20% of participants in the Diabetes Prevention Program (DPP) who were ages 60 and over, the diet and physical activity intervention conferred a 71% risk reduction of diabetes after an average follow-up of 3 years. The population of older adults is projected to more than double from 52.5 million in 2019 to ~100 million by 2060, and if projections hold, about half (48.3%) will have prediabetes. The proposed hybrid effectiveness implementation type 1 design will compare a DPP program Tailored for Older Adults and delivered via Telehealth (DPP-TOAT arm) to an in person DPP tailored for older adults (DPP arm) using a randomized, controlled trial design (n=230). Innovation: Our preliminary data suggests DPP-TOAT is a feasible and acceptable way to deliver the DPP to older adults, and this will be the first study to compare the effectiveness and implementation of two strategies (telehealth versus in-person) to deliver a tailored DPP for the unique needs of the growing population of older adults. Eligible patients will be recruited through electronic health records (Epic and MyChart) and randomized to the 12-month DPP-TOAT or the in-person DPP program. Primary effectiveness outcome will be 6-month weight loss and implementation outcome will be attendance. We will use a pragmatic approach in order to inform future studies conducted in community-based and rural settings. Findings will inform best practices in the delivery of an evidence-based intervention that could reach the 30+ million adults aged 65 and over with prediabetes.
Bronchiectasis | NYU Langone Health
NYU Langone specialists manage symptoms of bronchiectasis, a lung condition, and prevent it from progressing.
Bronchiectasis & NTM Program | NYU Langone Health
Doctors at NYU Langone’s Bronchiectasis and Nontuberculous Mycobacteria (NTM) Program provide care for conditions affecting lung function.
Bronchiectasis & NTM Program Doctors | NYU Langone Health
Find a doctor at the Bronchiectasis & NTM Program at NYU Langone.
Brooklyn Locations | NYU Langone Health
See all NYU Langone locations in Brooklyn and find locations in your neighborhood.
Building Access to Food through Systems and Solidarity (BASIS): a subsidized and culturally-adapted produce box program for immigrant communities of Brooklyn NY
BASIS aims to implement a whole-of-community intervention in Brooklyn for improving diet and the social and /built environments for English-, Chinese-, Spanish-, and Bangla-speaking communities. This is achieved through five main pillars: by1) improving food access (subsidized, culturally tailored fresh produce box program), 2) providing nutrition education, 3) conducting experiential learning (gardening workshops, cooking demonstrations, farm tours, physical activity sessions, arts-based sessions), 4) assisting with economic security (SNAP/WIC enrollment, workforce development, small business owner engagement), and 5) contributing to policy.
Building Hassenfeld Children’s Hospital at NYU Langone | NYU Langone Health
NYU Langone’s Hassenfeld Children’s Hospital is designed specifically to accommodate the needs of young patients and their families.
Building the Energy Building | NYU Langone Health
The new Energy Building helps NYU Langone be a leader in sustainability and clean, efficient energy use.
Building the Helen L. & Martin S. Kimmel Pavilion | NYU Langone Health
NYU Langone has added the newly constructed, state-of-the-art Helen L. and Martin S. Kimmel Pavilion.
Building the Ronald O. Perelman Center for Emergency Services | NYU Langone Health
NYU Langone's Ronald O. Perelman Center for Emergency Services provides emergency care at our convenient Manhattan location.