810-P: A Behaviorally-Enriched Diabetes Prevention Program for a State Employee Driver Population

Objective: Transportation workers, including drivers, are at high risk of developing diabetes but are a challenging workforce to reach for public health initiatives. We evaluated an innovative, culturally-tailored Diabetes Prevention Program (DPP) designed to strengthen driver behavioral engagement and program outcomes as part of a collaboration with the CT State Employer and the drivers’ Labor Union. The DPP included behavior and psychosocial assessments and health coaching to meet ADA Psychosocial Care Guideline recommendations.

Methods: Outcomes were: program attendance, weight loss, and physical activity level. Drivers (N=117) attended informational sessions, completed DPP screening, and signed up for a 1-year DPP at 11 work sites. Standard DPP group education was enriched with group and individual health coaching sessions that targeted behavioral and psychosocial barriers. Health coaches (N=3) developed customized educational resources and used validated behavior and psychosocial barriers assessments.

Results: Participants (N=98, 84% of enrolled) were: 97.8% male, mean age=49.0±8.9 yrs., baseline weight=245±48.6 lbs., gender 95% male, race 76% White, Ethnicity 13.6% Latino. One year results showed: mean attendance=70.8% ≥ 22 sessions and N=418 coaching sessions using individual driver behavior and psychosocial diagnostic results to compliment DPP group work. Behavior and psychosocial assessments completed were: Health literacy N=86, Self-management (Meal plan, Physical activity) N=77, Behavioral health N=80, Bodily pain N=83, Poor sleep N=92. Mean weight loss=14.0±11.5 lbs. with 63.3% achieving ≥5% body weight, and 89.8% ≥150 min/week of physical activity. Mean HbA1c improved from 5.7%±0.8 to 5.3%±0.6.

Conclusions: Drivers with challenging work schedules at high risk of developing diabetes were strongly engaged in a tailored, behaviorally-focused, enriched DPP that showed strong weight loss and physical activity improvements at the end of the one year DPP.