It took me a long time to decide to respond to this thread. I'd like to give a bit a background before I share my perspective.
Professionally, I do a lot of things related to health but the one thing that I enjoy very much is using exercise as a therapeutic intervention for populations living with a variety of chronic illnesses. I've seen first hand that it works. And yes YDMV, YHMV, YDISLIPMV, and with all chronic illness because people are different, the manner in which they respond to food, exercise, stress, barometric pressure..... will differ.
So when I earned my second masters degree in diabetes education and management, the topic of my thesis was: The Diabetes Prevention Program (DPP) and an Assessment of the Role American College of Sports Medicine Registered Clinical Exercise Physiologists and Clinical Exercise Specialists Play on the Diabetes Self Management Team. I also need to add that I flew to Atlanta, Georgia to Emory University and took the DPP Training. So I am qualified to deliver the intervention.
I read all the translation studies on the DPP and learned that for the most part those who translated the DPP, although clinicians, had no background in exercise physiology or exercise science. NADA.
For the most part those who were delivering the intervention were nurses. Now I am not undermining the role of nurses. We need them. My mom is a retired RN and she was an effective one at that. But one thing I know. My mother's academic preparation never included, exercise science, particularly, clinical exercise science. So for me--an exercise clinician, she is a layperson.
It must be highlighted the the DPP is an intervention for those not yet diagnosed with T2DM according to clinical criteria and who do not present with risk factors that put them in danger of harming themselves as a consequence of the exercise intervention.
I raise this point to ask you....
What you would prefer a lay person who has met industry standards and has a personal training certificate, or group fitness certificate or any fitness related certificate that is recognized by the National Commission of Certifying Agencies (NCCA) or a certified diabetes educator who holds a certification that is recognized by the NCCA.
Please know that February 2016 figures as it pertains to CDEs by profession state that 51% are nurses, 40% are dietitians, 7% are pharmacists and the balance being made up of all other disciplines. A whole 3%. That includes MDs, PA, physical therapists, occupational therapists, psychologists, optometrists, podiatrists AND professionals like myself...registered clinical exercise physiologists.
I include this list that I copied from my profile in www.ideafitness.com for a purpose...
ACE - Group Fitness Instructor Verified
ACE - Medical Exercise Specialist Verified
ACE - Personal Trainer Verified
ACSM - ACSM Certified Exercise Physiologist Verified
ACSM - ACSM Registered Clinical Exercise Physiologist® Verified
NASM - Certified Personal Trainer (CPT) Verified
NSCA - Certified Strength and Conditioning Specialist Verified
PMA - PMA Certified Pilates Teacher Verified
ACSM - ACSM/ACS Certified Cancer Exercise Trainer Verified
ACSM - ACSM/NCPAD Certified Inclusive Fitness Trainer Verified
NASM - Corrective Exercise Specialist (CES) Verified
NASM - Performance Enhancement Specialist (PES) Verified
Wellcoaches - Certified Health & Wellness Coach Verified
SilverSneakers - YogaStretch Pending Verification
NCBDE - Certified Diabetes Educator Agency Unavailable
NCHEC - Health Education Specialist Certification
I include my credentials as part of this response to say this....
Any lay person w/o a degree in exercise science who has any one of the fitness credentials that I have earned meets industry standard by virtue of the fact that they've earned an NCCA accredited credential just a nurse or dietitian, or pharmacist who has earned the CDE credential earned a NCCA accredited credential.
The perceived layperson on the other hand, that is the fitness professional with the NCCA accredited fitness credential, uses exercise as medicine to help people on a daily basis. They are working at the grassroots level on a day to day basis encouraging people to move. Can that be said of nurses, dietitians and pharmacists?
It just makes sense to have fitness professionals on DPP intervention teams.
In conclusion, on May 18 I will officially be Dr. Jojeegirl. On July 1, (if my application is accepted) I will attend an intense clinical research bootcamp for five weeks. At the bootcamp, among the many things I will learn is how to write an effective National Institutional of Health (NIH) grant.
My goal is to win an NIH award and then conduct research specific to the DPP using lay fitness professionals as opposed to nurses and pharmacists in possession of NCCA accredited credentials to demonstrate that the DPP works when the right professionals are on the team.
Here's my motivation.
People at risk of acquiring T2DM deserve better. If someone with "prediabetes" decides to participate in the intervention, at the least s/he should feel confident that the interventionist meets industry standards as far as participating in physical activity is concerned, facilitating behavior change and healthy eating. Do nurses and pharmacists do that?
Sorry for the long post. But that is my perspective.