Prevention of Diabetes Using Mobile-enabled, Virtual Delivery of the National Diabetes Prevention Program

There were 84.1 million people with pre-diabetes, 30.3 million people with diagnosed and 7.2
million with undiagnosed diabetes in the United States in 2015, and nearly 2 million are
diagnosed with it every year. By 2050, the CDC estimates that 1 in every 3 people globally
will have diabetes, a leading cause of death and disability.

The primary goal of this study is to evaluate the efficacy of the Noom Coach Diabetes
Prevention Program mobile platform versus usual medical care. The best intervention to date
for prediabetes is the Centers for Disease Control and Prevention's Diabetes Prevention
Program, yet there is limited research investigating a mobile-based delivery of the DPP.
Pre-diabetes is often discovered during routine medical visitation/annual screening (usual
care), but face-to-face time with clinicians is often limited. Exploring novel ways, such as
mHealth interventions to empower patients to pursue lifestyle change and prevent or delay
diabetes onset is critical to addressing the growing diabetes epidemic.

Inclusion criteria:

- English-speaking

- 18 years of age and older

- Referral from the patient's physician

- Hemoglobin A1C: 5.7 - 6.4 within the 3 months prior to enrollment

- Own a smartphone (Apple or Android)

Exclusion criteria:

- Recent weight loss (by patient report, >5 lbs in the 6 months preceding enrollment
visit)

- previous diagnosis of type 1 or type 2 diabetes

- serious or persistent mental illnesses

- more than 72 hours of hospitalization in the last 30 days

- Enrollment in a structured weight-loss program currently or within the 1 month
preceding study enrollment

- Pregnant

- Currently nursing

- Have given birth within the past 3 months

- Has been discouraged by a physician to enroll in a DPP program