Using Peer Support To Aid in PRevention and Treatment in Prediabetes (UPSTART)

This intervention trial has three specific aims: 1) To implement and test the effectiveness of a peer support model to initiate and sustain healthy diabetes-prevention behaviors in a lower-income, diverse population of prediabetes patients across three different care settings (Kaiser Permanente Northern California, the Department of Veterans Affairs, and a Federally Qualified Health Center); 2) To examine the patient, provider, and system-level mediators and moderators of the effectiveness of the peer support model across the three intervention sites; and 3) To examine the cost-effectiveness of the peer support model, and assess other factors related to the barriers and facilitators to adoption and spread, using the Consolidated Framework for Implementation Research.

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