1561-P: Physical Activity Goal Attainment among Women Veterans Participants in Virtual Diabetes Prevention Program (DPP): The Role of Session Completion, Self-Monitoring, and Social Interactions

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Introduction and Objective: The Diabetes Prevention Program’s (DPP) standardized goal of ≥150 mins of physical activity (PA)/week leads to long-term health benefits. We examined the association between virtual DPP PA goal attainment and three distinct program engagement components: session completion, self-monitoring, and social interactions.Methods: We included women Veterans participating in virtual DPP across 11 VA sites with 6-month follow-up. We categorized engagement as: 1) session completion (# of online modules/videos watched, range 0-32); 2) self-monitoring (# of weeks with weight logging, range 0-26); and 3) social interactions (# of weeks with direct message to coach and/or comment post, range 0-26). Using linear regression, we modeled # of weeks with PA goal attainment (via self-report logs or uploaded activity tracking data) as a function of each engagement measure, adjusting for age, BMI, ethnicity, race, A1c, and presence of any mental health diagnosis or any chronic pain diagnosis.Results: Women participants (n = 370) were on average 51 years old (SD 11) and had a BMI of 34.5 kg/m2 (SD 6.5). They completed a mean of 10 sessions (SD 8.6), 13 (SD 10) weeks of self-monitoring, and participated in social interactions during 6.2 weeks (SD 5.8). On average PA goal was attained in 7.6 weeks (SD 9.4). Session completion (B = .52), self-monitoring (B = .66), and social engagement (B = .59) were all positively associated with PA goal attainment (all p < .001).Conclusion: Higher engagement in session completion, self-monitoring, and social interactions was independently associated with higher PA goal attainment among women Veterans enrolled in a virtual DPP. Consistent with prior digital DPP literature, these findings suggest that promoting engagement across multiple program components may be critical for optimizing long-term PA outcomes in this population.

Disclosure

J. Wooldridge: None. M.M. Farmer: None. C. Chanfreau: None. C. Knight: None. B. Bean-Mayberry: None. R.S. Oberman: None. R. Lesser: None. K. Clair: None. D. Dunn: None. E. Finley: None. A. Hamilton: None. T. Moin: None.

Funding

Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) QUERI 2.0 QUERI 20-028



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