1.Diabetes prevention through digital therapy for highrisk individuals: Study protocol for the Malaysia Diabetes Prevention Programme (MyDiPP)
Nurul Fatihah Mohd Fauzi ; Sharifah Wajihah Wafa Syed Saadun Tarek Wafa ; Naresh Bhaskar Raj ; Mohd Ibrahim Abdullah ; Norkhairani Abdul Rawi ; Nurulhuda Mat Hassan ; Rohayah Husain
Malaysian Journal of Nutrition 2023;29(No.1):147-162
		                        		
		                        			
		                        			Introduction: Intervention approaches that integrate human coaching into 
technology are considered as a convenient, accessible and scalable method to reach 
a larger population at risk. The objective of this paper is to present the protocol for 
a randomised controlled trial that evaluates the efficacy of a lifestyle intervention 
programme via a mobile phone app (MyDiPP), which aims to prevent diabetes among 
adults at risk of developing diabetes. Methods: MyDiPP intervention is to be delivered 
for 12 months with multiple approaches (weight loss, dietary modification, physical 
activity, and quality of life). Eligible adults aged 18-65 years, overweight/obese (body 
mass index, BMI ≥ 23kg/m2), and at high risk of type 2 diabetes [American Diabetes 
Association (ADA) Diabetes Risk Score ≥5, or haemoglobin A1c (HbA1c) of 5.6-6.2%], 
will be randomly assigned to one of two study groups (intervention or usual care 
control groups) in a 1:1 ratio using simple randomisation. Results: Changes in 
weight and HbA1c level (primary outcomes), and changes in physical activity level, 
dietary intake, and quality of life (secondary outcomes) will be assessed at 6 and 
12 months. Conclusion: This study protocol describes the first digital therapy for 
diabetes prevention in Malaysia, which will determine whether the effect of this 
intervention is larger than the effect of usual care in reducing body weight and 
HbA1c level, and improving dietary intake, physical activity, and quality of life of 
high-risk individuals. Results from this trial may be useful for preventing type 2 
diabetes mellitus in Malaysia. 
		                        		
		                        		
		                        		
		                        	
            

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