Implementation and outcomes of the New York State YMCA XXXX prevention program: a multisite community-based translation, 2010-2012.

@entity1 @entity353 @entity6 @entity5710
INTRODUCTION: Weight loss and physical activity achieved through the @entity6 Prevention Program (DPP) have been shown to reduce type 2 @entity6 risk among individuals with @entity5710 . The New York State Young @entity1 's Christian Association (YMCA) delivered the 16-week evidence-based model at 14 YMCAs. A mixed methods process and outcomes evaluation was conducted. METHODS: Most @entity1 were referred by clinicians and were encouraged to achieve 5% to 7% @entity353 . @entity1 were weighed weekly; additional data were gathered from @entity1 surveys and focus groups and staff surveys and interviews. RESULTS: @entity1 (N = 254) lost a mean of 9 pounds (P < .001), or 4.2% of body weight, by program completion; 40% achieved 5% or more @entity353 and 25% achieved 7% or more @entity353 . Ten months after baseline, 61% of @entity1 reported 5% or more @entity353 and 48% reported 7% or more @entity353 . In multivariate models, @entity353 was negatively associated with black race (16 weeks: adjusted odds ratio [AOR], 0.190, P = .002; 10 months: AOR, 0.244, P = .005) and positively associated with attendance (16 weeks: AOR, 18.699, P < .001; 10 months: AOR, 2.808, P = .024). @entity1 reported improvements in health and lifestyle changes after program completion. Factors contributing to program success included coaches who motivated @entity1 , the group setting, curriculum, and program duration. However, sociodemographic diversity was limited. CONCLUSION: Outcomes demonstrate the potential for effectively implementing the DPP in community-based settings. Findings also suggest the need for replications among a broader population.
