Outcomes of a Digital Health Program With Human Coaching for Diabetes Risk Reduction in a Medicare Population

Cynthia M Castro Sweet, Vinay Chiguluri, Rajiv Gumpina, Paul Abbott, Erica N Madero, Mike Payne, Laura Happe, Roger Matanich, Andrew Renda, Todd Prewitt, Cynthia M Castro Sweet, Vinay Chiguluri, Rajiv Gumpina, Paul Abbott, Erica N Madero, Mike Payne, Laura Happe, Roger Matanich, Andrew Renda, Todd Prewitt

Abstract

Objective: To examine the outcomes of a Medicare population who participated in a program combining digital health with human coaching for diabetes risk reduction.

Method: People at risk for diabetes enrolled in a program combining digital health with human coaching. Participation and health outcomes were examined at 16 weeks and 6 and 12 months.

Results: A total of 501 participants enrolled; 92% completed at least nine of 16 core lessons. Participants averaged 19 of 31 possible opportunities for weekly program engagement. At 12 months, participants lost 7.5% ( SD = 7.8%) of initial body weight; among participants with clinical data, glucose control improved (glycosylated hemoglobin [HbA1c] change = -0.14%, p = .001) and total cholesterol decreased (-7.08 mg/dL, p = .008). Self-reported well-being, depression, and self-care improved ( p < .0001).

Discussion: This Medicare population demonstrated sustained program engagement and improved weight, health, and well-being. The findings support digital programs with human coaching for reducing chronic disease risk among older adults.

Keywords: Diabetes Prevention Program; Medicare; coaching; digital health; health; older adults.

Conflict of interest statement

Declaration of Conflicting Interests: The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Mr. Chiguluri, Mr. Gumpina, Mr. Abbott, Dr. Happe, Mr. Matanich, Dr. Renda, and Dr. Prewitt are employed by Humana Inc. and receive salary. Omada Health, Inc. is a business partner of Humana and maker of the Omada Health program®. Dr. Castro Sweet is employed by Omada Health and receives salary and stock options. At the time the work was completed, Mr. Payne was employed by Omada Health and received salary and stock options. Ms. Madero is employed by Omada Health and receives salary.

Figures

Figure 1.
Figure 1.
Percent weight change over time.

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Source: PubMed

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