The original Diabetes Prevention Program (DPP) intensive lifestyle intervention was developed and copyrighted at the University of Pittsburgh in 1996 as part of a collaborative multi-center clinical trial with primary funding from the National Institutes of Health-National Institute of Diabetes, Digestive and Kidney Diseases and secondary funding from other federal agencies including the Centers for Disease Control and Prevention (CDC). The main DPP results, published in 2002, demonstrated that individuals at risk for type 2 diabetes who participated in a healthy lifestyle change program lowered their risk of developing diabetes by 58% (71% for those 60 and older).

Over the years since publication, there has been tremendous progress in the translation and dissemination of DPP-derived programs across multiple institutions, including governmental, academic, and other non-commercial and commercial entities. In 2010 Congress authorized the CDC to establish the National Diabetes Prevention Program (National DPP), a partnership of public and private organizations working together to offer cost-effective, evidence-based programming to prevent the development of type 2 diabetes in those at risk across the United States. In addition, there is now provision for Medicare payment for recognized programs: https://coveragetoolkit.org/medicare/mdpp-basics/

National DPP Diabetes Prevention Recognition Program (DPRP):

One key component of the National DPP is the lifestyle change program, based on the original DPP research. To ensure high quality and standardized programming, CDC established the Diabetes Prevention Recognition Program (CDC-DPRP) to recognize DPP lifestyle change programs and the institutions or entities that provide or supply them. It is the CDC-DPRP that will determine whether any given DPP program or product meets the stated National DPP requirements. There are several CDC-approved DPP lifestyle change curricula available for application to the CDC recognition program, including the DPP-Group Lifestyle Balance curriculum, which has been used successfully to achieve full CDC-DPRP recognition status (see below for more information about the curriculum).

The CDC Prevent T2 materials are available on the CDC website. CDC produced materials are all copyright free and there are no terms and obligations to the University of Pittsburgh for use of any of these materials.

National DPP Lifestyle Coach Training:

The American Diabetes Association National DPP Lifestyle Coach Training offers state-of-the-art training programs. Training is available for new lifestyle coaches and DPP-experienced lifestyle coaches to become Master Trainers. In addition, the American Diabetes Association will be offering Advanced Practice Training courses in the future. The American Diabetes Association is one of only 13 organizations in the US that holds a Memorandum of Understanding with the CDC National DPP to provide training for the National DPP.

Diabetes Prevention Program (Copyright ©1996, University of Pittsburgh)

The original DPP materials used in the clinical research trial are freely available at https://dppos.bsc.gwu.edu/web/dppos/lifestyle and can be used consistent with the following Creative Commons License: https://creativecommons.org/licenses/by-sa/4.0/. The University of Pittsburgh no longer licenses the original DPP materials for commercial use. Moreover, there is newer intervention program material available (see below). Existing commercial licenses will be honored through their date of expiration.

Diabetes Prevention Program-Group Lifestyle Balance^TM or DPP-GLB (Copyright ©2008; 2010; 2011; 2017, University of Pittsburgh)

The DPP-GLB curriculum, an up-to-date direct adaptation of the original DPP lifestyle intervention, is freely available through the American Diabetes Association. University of Pittsburgh investigators, responsible for developing the original DPP intensive lifestyle intervention, and many other researchers have adapted and evaluated the DPP lifestyle intervention in numerous community contexts (e.g., primary care, hospitals, community pharmacies, worksites, military, faith-based, YMCA's, community centers, senior services, rehabilitation services). Innovations to the original DPP program derive from continuous National Institute of Health, Department of Defense, CDC and other sources of funded research support.

The University of Pittsburgh released an updated version of the 22-session (12 month) DPP-GLB program materials and a manual of operations (2017). Licensing information is consistent with the following: https://creativecommons.org/licenses/by-sa/4.0/

We ask that you reference these citations when documenting use of any of the DPP-GLB materials.<sup>1-3

1</sup>Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, et al. 2002. N Engl J Med 346: 393-403. http://www.nejm.org/doi/full/10.1056/NEJMoa012512

²Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. 2002. Diab Care 25:2165-2171. http://dx.doi.org/10.2337/diacare.25.12.2165

³Kramer MK, Kriska AM, Venditti EM, Miller RG, Brooks MM, et al. 2009. Am J Prev Med 37:505-511. http://dx.doi.org/10.1016/j.amepre.2009.07.020