Evaluation of an Automated Physician-Directed Messaging on Patient Engagement in the Digital Diabetes Prevention Program

Inclusion Criteria: * 18 years or older, BMI ≥ 25 kg/m2 (\> 22 kg/m2 if self-identified as Asian) * Must be a NYU Langone patient * A diagnosis of prediabetes (either diagnosis of prediabetes or an HbA1C level of 5.7%-6.4% in past 12 months) or diabetes risk factors (BMI ≥ 25 kg/m2 or \> 22 kg/m2 if self-identified as Asian * Safe to engage in moderate physical exercise (as determined by their PCP) * Sufficient English to be able to complete the enrollment process * Has app-capable device with data to use the dDPP application and receive text messages Exclusion Criteria: * Diagnosed with diabetes * Patients whose weight may vary considerably over the study's timeframe for reasons other than the intervention (e.g. cancer, pregnancy, ascites, severe CHF) * Patients with severe psychiatric disease or dementia * Active health condition that prevents them from engaging in moderate exercise