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.
|Advisor:||Woodard, Lisa J.|
|Commitee:||Ghasemzadeh, Hassan, McPherson, Sterling, Roll, John|
|School:||Washington State University|
|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|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be