scholarly journals Fidelity and Maintenance of Motivational Interviewing Skills in Diabetes Prevention Program Coaches: A Pilot Study

2021 ◽  
Author(s):  
Kaela Cranston ◽  
Elena Ivanova ◽  
Connie Davis ◽  
Mary Jung
Keyword(s):  
Pilot Study ◽  
Motivational Interviewing ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Preliminary Evidence ◽  
Bachelor's Degree ◽  
Competency Assessment ◽  
Community Based ◽  
Interviewing Skills

Abstract Background: Motivational interviewing is an effective counselling style for changing lifestyle behaviours. Few studies have examined brief motivational interviewing training for non-healthcare practitioners to deliver motivational interviewing-informed health programs. The purpose of this study was to pilot a brief motivational interviewing workshop on non-healthcare practitioners to deliver a community-based diabetes prevention program. Methods: This pilot study used convenience sampling to obtain seven participants naïve to motivational interviewing who wanted to become diabetes prevention program coaches. Participants attended a two-day motivational interviewing workshop, were then shadowed by an expert coach delivering the diabetes prevention program, and finally, were shadowed by an expert coach and received feedback. The primary outcome was whether coaches were able to maintain a level of at least client-centered motivational interviewing skills for the six months post-training, as assessed by the Motivational Interviewing Competency Assessment (MICA). Two independent coders used the MICA to assess a random selection of participants’ audio recordings of interactions between with diabetes prevention program clients. One session for each client in coaches’ first six months post-training was coded. Motivational interviewing-competency scores were generated using MICA scores for six months. Results: Coaches were 25B2 years old, 71% female, and 43% had less than a bachelor’s degree. Mean motivational interviewing-competency was at a level of client-centered (total MICA score of 3.3a0.24) over six months. The majority (71%) of all sessions were client-centered for all of the MICA categories. Conclusions: This pilot study offers preliminary evidence that non-healthcare practitioners attending a brief motivational interviewing training were able to deliver a client-centered level of motivational interviewing in a community-based diabetes prevention program up to six months post-training without the use of any booster training sessions. This suggests that the training used within this study may be sufficient to train future non-healthcare practitioner diabetes prevention program coaches in the community.

scholarly journals The Impact of a Yearlong Diabetes Prevention Program-Based Lifestyle Intervention on Cardiovascular Health Metrics

2021 ◽  
Vol 12 ◽  
pp. 215013272110298
Author(s):  
Susan M. Devaraj ◽  
Bonny Rockette-Wagner ◽  
Rachel G. Miller ◽  
Vincent C. Arena ◽  
Jenna M. Napoleone ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Lifestyle Intervention ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Cardiovascular Health ◽  
Diabetes Prevention Program ◽  
Behavioral Risk ◽  
Community Based ◽  
The Impact

Introduction The American Heart Association created “Life’s Simple Seven” metrics to estimate progress toward improving US cardiovascular health in a standardized manner. Given the widespread use of federally funded Diabetes Prevention Program (DPP)-based lifestyle interventions such as the Group Lifestyle Balance (DPP-GLB), evaluation of change in health metrics within such a program is of national interest. This study examined change in cardiovascular health metric scores during the course of a yearlong DPP-GLB intervention. Methods Data were combined from 2 similar randomized trials offering a community based DPP-GLB lifestyle intervention to overweight/obese individuals with prediabetes and/or metabolic syndrome. Pre/post lifestyle intervention participation changes in 5 of the 7 cardiovascular health metrics were examined at 6 and 12 months (BMI, blood pressure, total cholesterol, fasting plasma glucose, physical activity). Smoking was rare and diet was not measured. Results Among 305 participants with complete data (81.8% of 373 eligible adults), significant improvements were demonstrated in all 5 risk factors measured continuously at 6 and 12 months. There were significant positive shifts in the “ideal” and “total” metric scores at both time points. Also noted were beneficial shifts in the proportion of participants across categories for BMI, activity, and blood pressure. Conclusion AHA-metrics could have clinical utility in estimating an individual’s cardiovascular health status and in capturing improvement in cardiometabolic/behavioral risk factors resulting from participation in a community-based translation of the DPP lifestyle intervention.

Current practices, facilitators, and barriers experienced by program providers implementing the National Diabetes Prevention Program in Los Angeles County

2020 ◽  
Author(s):  
Gabrielle Green ◽  
Amelia R DeFosset ◽  
Megala Sivashanmugam ◽  
Jennifer Mosst ◽  
Tony Kuo
Keyword(s):  
Los Angeles ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Los Angeles County ◽  
Diabetes Prevention Program ◽  
Community Based ◽  
Data Reporting ◽  
Facilitators And Barriers ◽  
Program Costs ◽  
Current Practices

Abstract Individuals with prediabetes can lower their diabetes risk by participating in the National Diabetes Prevention Program (National DPP), an evidence-based, group lifestyle change program that is taught by a certified lifestyle coach. To date, studies have not explicitly compared National DPP implementation across multiple settings (i.e., types of organizations) to understand comparative setting advantages or challenges to engaging priority groups. The purpose of this study was to gain an in-depth understanding of: (a) the variation in National DPP implementation across clinic, community-based, and digital settings and (b) associated facilitators and barriers. The study focused on three core implementation domains: recruitment, retention, and data reporting. This study used a descriptive, qualitative approach to identify current practices, facilitators, and barriers to National DPP implementation by conducting semistructured key informant interviews in spring 2018 with 12 organizations delivering the National DPP in Los Angeles County. There was a general commonality between in-person settings (clinics and community-based), while the experiences of digital providers were relatively distinct. Recruitment and retention were widely described by all settings as labor- and time-intensive, while data reporting was seen as relatively less burdensome. All respondents reported using multiple recruitment strategies. Lifestyle coaches were seen as key to retention, and they spent substantial time engaging with participants outside of class, which often was not accounted for in program costs. Data reporting was easier for organizations that invested in sophisticated data management systems and had staff with sufficient data experience. This study advances knowledge around the translation of the National DPP in diverse settings in the nation’s largest county and highlights opportunities for targeted, setting-specific support.

scholarly journals Effects of a Culturally Grounded Community-Based Diabetes Prevention Program for Obese Latino Adolescents

2012 ◽  
Vol 38 (4) ◽  
pp. 504-512 ◽  
Author(s):  
Gabriel Q. Shaibi ◽  
Yolanda Konopken ◽  
Erica Hoppin ◽  
Colleen S. Keller ◽  
Rocio Ortega ◽  
...  
Keyword(s):  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Latino Adolescents ◽  
Community Based ◽  
Culturally Grounded

scholarly journals An Elective Course to Train Student Pharmacists to Deliver a Community-based Group Diabetes Prevention Program

2016 ◽  
Vol 80 (6) ◽  
pp. 106 ◽  
Author(s):  
Lisa J. Woodard ◽  
Skye McKennon ◽  
Jennifer Danielson ◽  
Judy Knuth ◽  
Peggy Odegard
Keyword(s):  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Community Based ◽  
Elective Course

scholarly journals The Pre-Diabetes Interventions and Continued Tracking to Ease-out Diabetes (Pre-DICTED) program: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kar-Fu Yeung ◽  
Mihir Gandhi ◽  
Amanda Yun Rui Lam ◽  
Selly Julianty ◽  
Alvin Yeow Meng Chia ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Plasma Glucose ◽  
Prevention Program ◽  
Financial Incentives ◽  
Diabetes Prevention ◽  
Controlled Trial ◽  
Diabetes Prevention Program ◽  
Community Based ◽  
Randomized Controlled

Abstract Background Community-based diabetes prevention programs varied widely in effectiveness, and the intervention strategy consisting of lifestyle interventions, stepwise addition of metformin, and financial incentives has not been studied in real-world clinical practice settings. The Pre-Diabetes Interventions and Continued Tracking to Ease-out Diabetes (Pre-DICTED) trial is a pragmatic trial that aims to compare the effectiveness of a community-based stepwise diabetes prevention program with added financial incentives (intervention) versus the standard of care (control) in reducing the risk of type 2 diabetes over 3 years among overweight or obese individuals with pre-diabetes. Methods This is an open-label, 1:1 randomized controlled trial which aims to recruit 846 adult individuals with isolated impaired fasting glucose (IFG), isolated impaired glucose tolerance (IGT), or both IFG and IGT from Singapore. Intervention arm participants attend 12 group-based sessions (2 nutrition workshops, 9 exercise sessions, and a goal-setting workshop) delivered at community sites (weeks 1 to 6), receive weekly physical activity and nutrition recommendations delivered by printed worksheets (weeks 7 to 12), and receive monthly health tips delivered by text messages (months 4 to 36). From month 6 onwards, intervention arm participants who remain at the highest risk of conversion to diabetes are prescribed metformin. Intervention arm participants are also eligible for a payment/rewards program with incentives tied to attendance at the group sessions and achievement of the weight loss target (5% of baseline weight). All participants are assessed at baseline, month 3, month 6, and every 6 months subsequently till month 36. The primary endpoint is the proportion of participants with diabetes at 3 years. Secondary endpoints include the mean change from baseline at 3 years in fasting plasma glucose, 2-hour plasma glucose, HbA1c, body weight, body mass index, physical activity, and dietary intake. Discussion The Pre-DICTED trial will provide evidence of the effectiveness and feasibility of a community-based stepwise diabetes prevention program with added financial incentives for individuals with pre-diabetes in Singapore. The study will provide data for a future cost-effectiveness analysis, which will be used to inform policymakers of the value of a nationwide implementation of the diabetes prevention program. Trial registration ClinicalTrials.govNCT03503942. Retrospectively registered on April 20, 2018. Protocol version: 5.0 Date: 1 March 2019

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