Evaluation Report

DPRP Evaluation Report

Organization Name:

Organization Code:

Organization Effective Date:

Date of this Report:

Date of Last Evaluation or Progress Report:

Result of Last Evaluation: progress report only/met all requirements/did not meet all requirements

This report includes data on participants who attended their first session during the period xx/xx/xxxx-xx/xx/xxxx.

Total number of participants: XXX

Of the XX participants for whom you submitted data, XX (XX %) were eligible based on a blood test or history of GDM. An additional XX (XX %) were eligible based on a risk test only. XX (XX %) had neither, and were thus ineligible for the program.

Of the XX eligible participants, XX (XX %) had BMI at the first session that was less than 24 kg/m² (<22 kg/m², if Asian). We did not exclude participants from the requirements analysis based on having lower initial BMI.

Of the XX eligible participants, XX completed 4 or more sessions. The following evaluation of your program’s performance is based on data from the XX eligible participants who attended 4 or more sessions.

Criterion 5, session attendance during months 1-6 Session attendance will be averaged over all participants who attended 4 or more sessions. The average number of sessions attended must be a minimum of nine.

Average number of sessions attended during months 1-6: XX (pass/fail)

Criterion 6, documentation of body weight Documentation of body weights will be based on all participants who attended 4 or more sessions. Body weight must have been recorded at 80% or more of all sessions attended.

Percentage of sessions where body weight was recorded: XX % (pass/fail)

Criterion 7, documentation of physical activity minutes Documentation of physical activity minutes will be based on all participants who attended 4 or more sessions. Physical activity minutes must have been recorded at 60% or more of all sessions attended.

Percentage of sessions where physical activity minutes were recorded: XX % (pass/fail)

Criterion 8, weight loss achieved at 6 months The average weight loss (mean percentage weight loss) achieved by participants attending 4 or more sessions must be a minimum of 5% of “starting” body weight (defined as the body weight measured at the first intervention session attended). Weight loss will be averaged over all participants attending 4 or more sessions. The first and last weights recorded for each participant during months 1-6 are used to calculate this measure.

Average weight loss achieved at six months: XX % (pass/fail)

Criterion 9, session attendance during months 7-12 Session attendance will be averaged over all participants who attended 4 or more sessions. The average number of sessions attended during months 7-12 must be a minimum of three.

Average number of sessions attended during months 7-12: XX (pass/fail)

Criterion 10, weight loss achieved at 12 months The average weight loss (mean percentage weight loss) achieved over the entire intervention period by participants attending 4 or more sessions must be a minimum of 5% of “starting” body weight. Weight loss will be averaged over all participants attending 4 or more sessions during the entire intervention period. The first and last weights recorded for each participant during months 1-12 will be used to calculate this measure.

Average weight loss achieved at 12 months: XX % (pass/fail)

Criterion 11, program eligibility requirement Minimum of 50% of participants must be eligible for the lifestyle intervention based on either a blood test indicating prediabetes or a history of GDM. The remainder (maximum of 50% of participants) must be eligible based on the CDC Prediabetes Screening Test, the American Diabetes Association Type 2 Diabetes Risk Test or a claims-based risk test. Calculation of these percentages will be based on all participants who attended 4 or more sessions. Refer to Section II for participant eligibility requirements.

XX % were eligible for the lifestyle intervention based on either a blood-based test indicating prediabetes or a history of GDM. (pass/fail)

Summary/recommendations:

Should you have any questions or concerns, please do not hesitate to contact us at [email protected].

Thank You

The DPRP Team