Adapting the CDC PreventT2 lifestyle program for older adults in U.S. senior living communities

Abstract Issue/problem Type 2 diabetes poses a significant public health risk for older adults, particularly those with multiple chronic conditions. The CDC's PreventT2 program aims to reduce diabetes risk through lifestyle changes but is primarily designed for working-age adults. In senior living communities, where residents often have limited autonomy over diet and reduced mobility, applying this standard program without adaptation can limit its impact. Modifying the program to meet the specific needs of this population could improve chronic disease outcomes and be applicable in other aging populations globally. Description of the problem In 2024, the PreventT2 program was piloted in a U.S. senior living community. Residents with prediabetes and overweight were enrolled in weekly or bi-weekly group sessions over one year. The curriculum covered physical activity, nutrition, and behavior change. Participants tracked activity and weight, while facilitators gathered qualitative feedback to identify challenges. Objectives included assessing feasibility, measuring early health changes, and determining necessary adaptations. Key questions: Can the program be effective in this setting? What modifications are needed for older adults? Results Participants achieved modest weight loss and increased physical activity, suggesting potential program benefits. Challenges included communal dining limiting dietary choices and curriculum content around work-life balance being less relevant. Adjustments such as age-appropriate goal-setting, meal guidance tailored to communal dining, and an emphasis on functional mobility were critical for success. Lessons Adapting chronic disease prevention programs to older adults’ needs is essential. Tailored content reflecting their routines, health challenges, and support systems can improve engagement and outcomes. This approach offers a model for adapting public health programs for aging populations in similar residential care settings worldwide. Key messages • Customized prevention programs can reduce diabetes risk in older adult communities. • Adapting public health content to senior living realities enhances program impact.