What question did this study set out to answer?

Evaluate the effectiveness of a multilevel intervention to enhance prediabetes treatment uptake in primary care settings.

March 15, 2026Diabetes Obesity and Cardiometabolic CARE

START Diabetes Prevention: A Multilevel Strategy for Primary Care Clinics

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Pragmatic trial improved preventive treatment in prediabetes, highlighting effective resources in primary care.

Evaluate the effectiveness of a multilevel intervention to enhance prediabetes treatment uptake in primary care settings.
Pragmatic study of the START Diabetes Prevention intervention
Implemented structured workflow and clinical decision support tools
Conducted over 12 months in suburban primary care clinics
Compared intervention and control clinics for treatment uptake.
Increased preventive treatment use in both clinics without significant differences
Higher discussions about prediabetes in the intervention clinic (60% vs. 48%; P = 0.002)
Improved acceptability and perceived usefulness of intervention by PCPs.

Tseng et al. (2026) studied this question.

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