Translating the diabetes prevention program into practice in the general community: findings from the Montana Cardiovascular Disease and Diabetes Prevention Program.

Purpose: The purpose of this study was to evaluate the feasibility of translating the Diabetes Prevention Program (DPP) lifestyle intervention into practice in the general community.

Methods: In 2008, the Montana Diabetes Control Program, working collaboratively with 4 health care facilities, implemented an adapted group-based DPP lifestyle intervention. Adults at high risk for diabetes and cardiovascular disease were recruited and enrolled (n = 355).

How are we diagnosing cardiometabolic risk in primary care settings?

Aims: To assess attitudes, barriers and practices of clinicians in assessing and treating cardiometabolic risk in overweight adults.

Methods: In 2006, primary care physicians and mid-level practitioners in Montana were surveyed (N=430).

Results: Most primary care clinicians (95%) recognized the clinical benefit of weight loss, but many cited patient motivation (87%), lack of support services (61%), and lack of time (58%) as barriers.