Effectiveness of a lifestyle intervention program among persons at high risk for cardiovascular disease and diabetes in a rural community

J Rural Health. Summer 2010;26(3):266-72. doi: 10.1111/j.1748-0361.2010.00288.x.


Purpose: To evaluate the feasibility of translating the Diabetes Prevention Program (DPP) lifestyle intervention into practice in a rural community.

Methods: In 2008, the Montana Diabetes Control Program worked collaboratively with Holy Rosary Healthcare to implement an adapted group-based DPP lifestyle intervention. Adults at high risk for diabetes and cardiovascular disease were recruited and enrolled (N = 101). Participants set targets to reduce fat intake and increase physical activity (> or = 150 mins/week) in order to achieve a 7% weight loss goal.

Findings: Eighty-three percent (n = 84) of participants completed the 16-session core program and 65 (64%) participated in 1 or more after-core sessions. Of those completing the core program, the mean participation was 14.4 +/- 1.6 and 3.9 +/- 1.6 sessions during the core and after core, respectively. Sixty-five percent of participants met the 150-min-per-week physical activity goal during the core program. Sixty-two percent achieved the 7% weight loss goal and 78% achieved at least a 5% weight loss during the core program. The average weight loss per participant was 7.5 kg (range, 0 to 19.7 kg), which was 7.5% of initial body weight. At the last recorded weight in the after core, 52% of participants had met the 7% weight loss goal and 66% had achieved at least a 5% weight loss.

Conclusion: Our findings suggest that it is feasible to implement a group-based DPP in a rural community and achieve weight loss and physical goals that are comparable to those achieved in the DPP.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Body Weight
  • Cardiovascular Diseases / prevention & control*
  • Curriculum
  • Diabetes Mellitus / prevention & control*
  • Dietary Fats
  • Feasibility Studies
  • Female
  • Health Promotion*
  • Humans
  • Life Style*
  • Male
  • Metabolic Syndrome
  • Middle Aged
  • Montana
  • Motor Activity
  • Obesity / prevention & control
  • Patient Education as Topic
  • Program Evaluation*
  • Risk Assessment
  • Risk Factors
  • Risk Reduction Behavior
  • Rural Health Services
  • Rural Population*
  • Social Marketing


  • Dietary Fats