Dissertation/Thesis Abstract

Novel Electronic Monitoring Methodology to Enhance Prevention of Type II Diabetes Mellitus
by Underhill, Alissa Marie, Ph.D., Washington State University, 2017, 114; 10266114
Abstract (Summary)

Those living with Type II Diabetes Mellitus (T2DM) suffer from the disease in many ways including a reduction of quality of life, increased health-related costs, and higher mortality risk. Thankfully, progression toward T2DM can be slowed or prevented through lifestyle modification programs that include a reduction in caloric intake along with moderate physical activity. Even a small amount of weight loss can be beneficial in slowing the progression of T2DM to those at risk.

The purpose of this dissertation is to evaluate the inclusion of technology, a Fitbit Flex and smartphone, into the popular lifestyle modification program: the Diabetes Prevention Program - Group Lifestyle Balance Program (DPP – GLB). The DPP – GLB Program has shown great success in reduction of progression toward T2DM, however, it was unknown how integrating technology would affect overall program outcomes. Program outcomes included the attainment of 150 minutes of physical activity and a weight loss trending toward 7%. Technology has become prominent over recent years, and is believed to be used advantageously for disease prevention purposes. Therefore, our hypothesis was that integrating technology into the GLB Program would show improved primary outcomes and would be more effective (by proxy through our outcome measurements) than the standard GLB protocol at reducing the risk of T2DM. We wanted to demonstrate how technology would be able to provide more complete feedback to the participant, as utilizing technology allows for the procurement of objective measurements that is not found in standard GLB protocol. There are many benefits to utilizing technology, these have potential implications for the future of healthcare and disease prevention/management.

In order to test the hypothesis, we conducted a study of at-risk for progression to T2DM in adults aged 40 and older. Statistical significance was not found between our control and technology groups, however, we believe clinical significance was found. Statistical significance was found within groups. We believe monitoring physical activity with technology can reinforce positive lifestyle changes to encourage and increase activity due to instant feedback from the device. Participants can be successful with weight loss by going through the GLB Program, reinforcing the importance of lifestyle modification.

Indexing (document details)
Advisor: Woodard, Lisa J.
Commitee: Ghasemzadeh, Hassan, McPherson, Sterling, Roll, John
School: Washington State University
Department: Nutrition
School Location: United States -- Washington
Source: DAI-B 78/12(E), Dissertation Abstracts International
Subjects: Health sciences, Nutrition, Kinesiology
Keywords: Diabetes prevention program, Fitbit, Group lifestyle balance, Physical activity, Technology, Weight loss
Publication Number: 10266114
ISBN: 978-0-355-09489-3
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