Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

  • Log out

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
  • Log out
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
LetterCorrespondence

Re: A Lifestyle Intervention Study in Patients with Diabetes or Impaired Glucose Tolerance: Translation of a Research Intervention into Practice

Lovoria B. Williams
The Journal of the American Board of Family Medicine March 2010, 23 (2) 273; DOI: https://doi.org/10.3122/jabfm.2010.02.090239
Lovoria B. Williams
MSN, APRN, BC
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • References
  • Info & Metrics
  • PDF
Loading

To the Editor: I read with interest the research article by Matvienko and Hoehns.1 The overarching goal of the study was timely and consistent with the recent paradigm shift toward translational science; furthermore, the authors used a collaborative approach with local health care providers to assist with participant recruitment. I applaud their efforts to connect science with the real world. Although I commend the authors I must comment on their methodology.

First, translational science must always be cognizant of the intent of the original science. The specific aim of the Diabetes Prevention Program was to reduce the incidence of diabetes2; therefore the current authors’ inclusion of known diabetics into a diabetic prevention program negates the intent of the original trial. Also weight gain, which oftentimes is secondary to the diabetic's pharmacotherapy,3 potentially is a confounding variable. Alternatively the authors may consider conducting a comparison study which includes 2 groups: one consisting of diabetics and another that does not include diabetics. A design such as this may contribute to the body of literature regarding the effectiveness of the diabetes prevention program in changing anthropometric and physiologic measures in both groups.

Second, the authors stated that they wanted to translate research into a real world practice setting. My conceptualization of a real world setting is one wherein the participant frequents as part of their daily lives. Settings such as recreation departments, community centers, or faith-based environments come to mind. However, the authors conducted the intervention within an academic institution and used trained graduate students to deliver the sessions. Using interventionists who are trained in the intervention is imperative in translational science, because training increases fidelity maintenance. Yet, I don’t accept the academic setting as a “real world” translation. Furthermore the academic setting is privy to resources that are not as easily attainable in community settings, such as grant funding. I suggest the use of a more community-based participatory model in which the academic institution partners with the community, trains the community partners, and empowers them to deliver the intervention. Although communities may not be privy to the resources of the academic center, they have their own unique resources. For example, they have community leaders who can be instrumental in providing access to the target population as well as people who are vested in the community and may unselfishly promote health behavior change in their own communities. Oftentimes these individuals are nurses, physicians, educators, and other public/health professionals whose health background enable them to easily grasp the material. Interventions which are conducted using these real world resources are likely to provide the community with sustainable programs that outlast the researchers funding period(s).

In conclusion, the translation of evidenced-based interventions which target obesity are much needed within community settings. Researchers must be ever mindful of the intent of the original research and equally mindful of the sustainability of resultant successful interventions.

Notes

  • The above letter was referred to the author of the article in question, who offers the following reply.

References

  1. ↵
    Matvienko OA, Hoehns JD. A lifestyle intervention study in patients with diabetes or impaired glucose tolerance: Translation of a research intervention into practice. J Am Board Fam Med 22; 5: 535–43.
  2. ↵
    Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin 2002; 346: 393–403.
    OpenUrlPubMed
  3. ↵
    Krentz AJ, Patel MB, Bailey CJ. New drugs for type 2 diabetes mellitus: What is their place in therapy? Drugs 2008; 68: 2131–62.
    OpenUrlCrossRefPubMed
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family Medicine: 23 (2)
The Journal of the American Board of Family Medicine
Vol. 23, Issue 2
March-April 2010
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Re: A Lifestyle Intervention Study in Patients with Diabetes or Impaired Glucose Tolerance: Translation of a Research Intervention into Practice
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
10 + 4 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Re: A Lifestyle Intervention Study in Patients with Diabetes or Impaired Glucose Tolerance: Translation of a Research Intervention into Practice
Lovoria B. Williams
The Journal of the American Board of Family Medicine Mar 2010, 23 (2) 273; DOI: 10.3122/jabfm.2010.02.090239

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Re: A Lifestyle Intervention Study in Patients with Diabetes or Impaired Glucose Tolerance: Translation of a Research Intervention into Practice
Lovoria B. Williams
The Journal of the American Board of Family Medicine Mar 2010, 23 (2) 273; DOI: 10.3122/jabfm.2010.02.090239
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Notes
    • References
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Response: Re: A Lifestyle Intervention Study in Patients with Diabetes or Impaired Glucose Tolerance: Translation of a Research Intervention Into Practice
  • Google Scholar

More in this TOC Section

  • Re: Factors Influencing Patient Confidence in Screening Mammography
  • Re: Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings
  • Hepatitis C Treatment Knowledge, Attitudes, and Practices Among Primary Care Providers—Los Angeles County, 2023
Show more Correspondence

Similar Articles

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire