– policy maker -" The hospital board assigned one person to translate the intervention into protocols, forms and an implementation guide.
The ability to translate the intervention to a multi-center trial will rely upon careful description of the yoga intervention and training.
Despite the impressive results of the Chinese study (43% relative risk reduction in the lifestyle group after 20-years follow-up), it is impossible to translate the intervention used in this study since neither a complete description of the lifestyle changes that occurred nor the identification of the active component(s) are known.
If either or both of the large changes and small changes approaches are successful in preventing weight gain, an important next step will be to translate the interventions beyond the research setting and into community or commercial use.
Our findings demonstrate the feasibility and potential of translating the lifestyle intervention in diverse AI/AN communities.
Translating the DPP intervention into real-world situations has occurred in other settings (6– 16), such as urban medically underserved communities (7), faith-based settings (8), YMCAs (9), work sites (10), and primary care practices (11– 11).
These results indicate that the HELP PD project was successful in translating the DPP LWL intervention into a community-based approach that induced significant reductions in blood glucose, insulin, HOMA-IR, body weight, waist circumference, and BMI over 12 months in overweight and obese patients with prediabetes.
Despite these challenges and limitations, the SDPI-DP was highly successful in translating the DPP lifestyle intervention across an organizationally and geographically diverse array of AI/AN communities.
Health care providers who are translating the DPP lifestyle intervention should be aware of participant characteristics that may hamper or enhance success with weight loss and consider prioritizing strategies that improve self-efficacy and dietary restraint skills to maximize sustainable weight outcomes.
Finally, translating the models into interventions with a clearly defined set of intervention activities and guidelines and testing their efficacy in rigorous clinical trials will be necessary to confirm or disconfirm empirical claims.
