Healthy Balance: Impact and Lessons Learned from an Evidence-Based Weight Management and Diabetes Prevention Program

Healthy Balance: Impact and Lessons Learned from an Evidence-Based Weight Management and Diabetes Prevention Program

Sean Hashmi, MD ; Jimmy Wannares, MPH ; Danielle Altman, MA ; Guangxi Zheng ; Anna Marie Salvador, MPH ; Chris Rapp, MHA ; Faith Ruperto-Ramirez ; Denice Waters

https://doi.org/10.7812/TPP/20.046.23

Abstracts from the Kaiser Permanente 2020 National Quality Conference
From Southern California

Background : Kaiser Permanente Southern California ( KPSC ) has 4.6 million members and an fleshiness prevalence of 37 %. Obesity is a leading cause of preventable death and is associated with type 2 diabetes and high blood pressure. KPSC ’ s Healthy Balance is a Centers for Disease Control and Prevention ( CDC ) recognized 12-month weight management and diabetes prevention platform. More than 160 staff received course of study, motivational interview, and software documentation educate to facilitate more than 200 tracks in English and Spanish in 52 locations to provide services to more than 40,000 KPSC members since 2017.
Methods : goodly Balance is delivered through 16 in-person, group-based sessions and 6 phone-based coach sessions. We included KPSC members who initiated Healthy Balance and had the opportunity to participate for 12 months between 2/28/18 and 8/31/19 and who met the following CDC Diabetes Prevention Recognition Program ( DPRP ) eligibility criteria : age older than 18 years, nonpregnant, clinically fleshy, a prediabetes diagnosis, and no anterior character 1 or 2 diabetes diagnosis ( nitrogen = 2546 ). Attendance, physical action minutes, and body system of weights were documented at each session. The primary result based on comparing inaugural and last slant measurements collected was average system of weights personnel casualty of starting body weight.
Results : Of the 2546 DPRP eligible members, 10 % ( nitrogen = 255 ) met DPRP evaluation criteria ( attended at least 3 sessions during months 1-6 and spent at least 9 months in the program ). Among the group of members who met DPRP evaluation criteria, we found the follow : 88.6 % attended at least 9 in-person sessions in months 1-6 ; 78.4 % attended at least 3 sessions in months 7-12 ; physical activity minutes were documented in 84 % of sessions attended ; torso weight was documented in 98.3 % of sessions attended ; and the modal weight loss achieved was 5.8 % of starting body weight. overall, session attendance was eminent, participants remained engaged throughout the 12-month period, and average weight personnel casualty was clinically significant.
Discussion : healthy Balance is a successful program for weight reduction and type 2 diabetes prevention. sustain weight loss of 3 % to 5 % of body burden can have significant clinical benefits, and slant loss of 5 % to 7 % can lower the incidence of type 2 diabetes. major facilitators of program achiever include : No cost to members, solid evidence root, combination of delivery modalities, motivational interview, continuous monitor of work and consequence measures, and regular solicitation of feedback from program facilitators and participants. We are working on improving access for vulnerable and hard-to-reach populations, targeting individuals with a higher facility to change, and enhancing program retention .