Trial Parameters
Brief Summary
The purpose of this randomized controlled trial is to compare the effectiveness of Cooperative Extension implementing two delivery methods (group video vs. self-directed) and participant recruitment strategies of the National Diabetes Prevention Program (NDPP) to adults in rural communities. Exploratory assessments of implementation facilitators and barriers will be completed to determine strategies that may impact intervention effectiveness and that may support or impede the implementation, dissemination, and effectiveness of Cooperative Extension to deliver the NDPP to prediabetic adults in rural areas.
Eligibility Criteria
Inclusion Criteria: * Age 18 years or older * BMI ≥25 kg/m2, ≥23 kg/m2 if Asian * Blood test results in the pre diabetic range within the last year (HbA1C = 5.7%-6.4% or fasting plasma glucose= 100-125 mg/dl or 2-hr. plasma glucose following a 75-gm glucose load = 140-199 mg/dL) or have previous diagnosis of gestational diabetes or a positive screening for pre diabetes based on CDC pre diabetes risk test * Willing to travel to KSRE site for orientation and outcome testing * Available to attend pre-specified meeting time of GV for their respective KSRE location * Medically stable as deemed by primary care provider consent * English speaking Exclusion Criteria: * Previous diagnosis of Type I or II diabetes * Taking FDA-approved weight loss medications * Primary care provider stating that patient should not participate * Self-report as currently pregnant or within 6 weeks of having given birth (or planning to become pregnant in the next 12 months) * Unable to engage in physical activity