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All participants had overweight\/obesity with one additional risk factor for type 2 diabetes (i.e., prediabetes, elevated risk score, or history of gestational diabetes) and 56% (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009536) were women. In addition to enhancing the reach of and engagement in diabetes prevention services among Veterans, these projects resulted in three key impacts as follows: (1) informing the national redesign of VA MOVE! including recommendations to increase the number of MOVE! sessions and revise guidelines across 150+ VA sites, (2) enhancing the national evidence base to support online DPP delivery options with citations in national care guidelines outside VA, and (3) demonstrating the importance of gender\u2010tailoring of preventive care services by and for women Veterans to enhance engagement in preventive services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Over the past decade, the evolution of VA QUERI DPP projects increased the reach of and engagement in diabetes prevention services among Veterans, including women Veterans who have been harder to engage in lifestyle change programs in VA, and resulted in three key impacts informing type 2 diabetes and obesity prevention efforts within and outside of VA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.14349","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T07:01:55Z","timestamp":1720162915000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Real\u2010world impacts from a decade of Quality Enhancement Research Initiative\u2010partnered projects to translate the Diabetes Prevention Program in the Veterans Health\n                    <scp>Administration<\/scp>"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3657-8459","authenticated-orcid":false,"given":"Laura J.","family":"Damschroder","sequence":"first","affiliation":[{"name":"Ann Arbor VA Medical Center for Clinical Management Research  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Hamilton","sequence":"additional","affiliation":[{"name":"VA Center for the Study of Healthcare Innovation, Implementation &amp; 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