scholarly journals Diabetes Prevention in Adolescents: Co-design Study Using Human-Centered Design Methodologies

10.2196/18245 ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. e18245
Author(s):  
Julie M Pike ◽  
Courtney M Moore ◽  
Lisa G Yazel ◽  
Dustin O Lynch ◽  
Kathryn M Haberlin-Pittz ◽  
...  
Keyword(s):  
Diabetes Prevention ◽  
Design Research ◽  
Diabetes Prevention Program ◽  
Prevention Programs ◽  
Lifestyle Changes ◽  
Health Concern ◽  
Human Centered Design ◽  
Design Methodologies ◽  
Hands On Learning ◽  
Program Characteristics

Background The rise in pediatric obesity and its accompanying condition, type 2 diabetes (T2D), is a serious public health concern. T2D in adolescents is associated with poor health outcomes and decreased life expectancy. Effective diabetes prevention strategies for high-risk adolescents and their families are urgently needed. Objective The aim of this study was to co-design a diabetes prevention program for adolescents by using human-centered design methodologies. Methods We partnered with at-risk adolescents, parents, and professionals with expertise in diabetes prevention or those working with adolescents to conduct a series of human-centered design research sessions to co-design a diabetes prevention intervention for youth and their families. In order to do so, we needed to (1) better understand environmental factors that inhibit/promote recommended lifestyle changes to decrease T2D risk, (2) elucidate desired program characteristics, and (3) explore improved activation in diabetes prevention programs. Results Financial resources, limited access to healthy foods, safe places for physical activity, and competing priorities pose barriers to adopting lifestyle changes. Adolescents and their parents desire interactive, hands-on learning experiences that incorporate a sense of fun, play, and community in diabetes prevention programs. Conclusions The findings of this study highlight important insights of 3 specific stakeholder groups regarding diabetes prevention and lifestyle changes. The findings of this study demonstrate that, with appropriate methods and facilitation, adolescents, parents, and professionals can be empowered to co-design diabetes prevention programs.

scholarly journals Prevention of Diabetes and Cardiovascular Disease in Obesity

2020 ◽  
Vol 21 (21) ◽  
pp. 8178
Author(s):  
Lucia La Sala ◽  
Antonio E. Pontiroli
Keyword(s):  
Risk Factors ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Cardiovascular Complications ◽  
Lifestyle Changes ◽  
World Health ◽  
Lower Body Weight ◽  
Cardiovascular Morbidity And Mortality ◽  
Bariatric Metabolic Surgery ◽  
Health Organization

Obesity is one of the major risk factors for the development of both impaired glucose tolerance (IGT, or prediabetes) and type 2 diabetes (T2D), and its prevalence worldwide drives toward an increased rate of cardiovascular morbidity and mortality. Given the estimations of the World Health Organization (WHO) and the recommendation of the Diabetes Prevention Program (DPP), where IGT and diabetes are considered as risk factors for the development of cardiovascular complications and obesity, the development of diabetes should be treated because of its potential reversibility. In this view, several interventions such as diet, lifestyle changes, and pharmacological treatment are effective, including bariatric metabolic surgery (BMS), which is the most incisive way to efficiently lower body weight. In this review, we sought to summarize some of the major aspects linked to diabetes prevention in overweight/obesity, focusing on the use of surgery; we also attempted to elucidate molecular pathways involved in a variety of obesity-induced processes able to favor the progression of chronic diseases, such as diabetes and its complications.

scholarly journals Scaling Up Diabetes Prevention Programs in North Carolina: Perceptions of Demand From Potential Program Recipients and Providers

2018 ◽  
Vol 45 (1) ◽  
pp. 116-124 ◽  
Author(s):  
Tainayah Thomas ◽  
Carmen D. Samuel-Hodge ◽  
Deborah S. Porterfield ◽  
Maria L. Alva ◽  
Jennifer Leeman
Keyword(s):  
North Carolina ◽  
Qualitative Study ◽  
Diabetes Prevention ◽  
Scale Up ◽  
Diabetes Prevention Program ◽  
Transportation Cost ◽  
Prevention Programs ◽  
Scaling Up ◽  
Community Settings ◽  
Staff Support

Purpose The purpose of this study was to assess factors that influence demand for the Diabetes Prevention Program (DPP) from the perspectives of potential program participants and providers. Methods A qualitative study guided by a conceptual framework was conducted with potential DPP participants and potential DPP providers. Five focus groups with potential participants (n = 37) and key informant interviews with potential providers (n = 14) were conducted in community settings across North Carolina. Results Although providers considered prediabetes to be an important health problem, potential DPP participants expressed less urgency related to a diagnosis of prediabetes. Potential participants felt that they were more likely to adopt diabetes prevention programs if affordable and convenient. For potential program providers, funding, collaboration, and staff support were key considerations for DPP adoption. Providers were supportive of DPP features; however, there was concern from both stakeholders on retention in a 16-week program. Both groups cited transportation, cost, and health insurance reimbursement as existing barriers to the uptake of these programs. Conclusion This qualitative study highlights important considerations for scaling up diabetes prevention programs in community settings, including what constraints agencies face in adopting programs, the perceived demand and programmatic needs for these services by customers, and the need for improving patient education on prediabetes. This implementation science study allows us to increase the potential to scale up and sustain diabetes prevention programs that fit available resources and customer needs.

scholarly journals A Qualitative Study on the Perspectives of Latinas Enrolled in a Diabetes Prevention Program: Is the Cost of Prevention Too High?

2020 ◽  
Vol 11 ◽  
pp. 215013272094542
Author(s):  
Maud Joachim-Célestin ◽  
Thelma Gamboa-Maldonado ◽  
Hildemar Dos Santos ◽  
Susanne B. Montgomery
Keyword(s):  
Qualitative Study ◽  
Low Income ◽  
Behavior Modification ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Prevention Programs ◽  
Theory Approach ◽  
Preventive Behaviors ◽  
Culturally Adapted

Introduction: Latinas are among the groups most affected by diabetes health disparities, yet they often benefit less from diabetes interventions even when these are culturally adapted. The purpose of this qualitative study was to explore readiness of Latinas enrolled in a diabetes prevention program to adopt recommended preventive behaviors, and to identify factors associated with the adoption and maintenance of these recommended lifestyle changes. Insights gained will be used to inform future efforts at reducing diabetes disparities and the burden of chronic diseases among Latinas. Methods: Nine focus group discussions (FGDs) and 3 key informant interviews (KIIs) were conducted after the completion of a culturally adapted diabetes prevention program led by Latino community health workers. A grounded theory approach by Charmaz informed by the transtheoretical model guided the questions. Discussions and interviews were audio-taped with participants’ permission, transcribed, coded, and themed. Results: Forty low-income Latinas contributed to FGDs and KIIs. Baseline readiness to engage in new behaviors varied. Negative personal and family health events and physician referral impacted most readiness to enroll and to adopt preventive behaviors. Built environment, financial constraints, and threat of social alienation constituted major barriers to behavior adoption and maintenance, while physician involvement, awareness of diabetes complications, and social support partially mitigated these impediments. Conclusions: Our results suggest that timing of enrollment, physician-patient dynamics, and the emotional personal/family cost of behavior modification should all be considered when planning diabetes prevention programs for low-income Latinas. Besides appropriately timing referrals to accessible culturally informed prevention programs, health educators and health care providers should be aware of the potentially negative impact of behavior modification on family dynamics and be prepared to address resulting repercussions. Future research on Latinas should also include and report data on physician involvement, family context, and social determinants of health for more consistent program comparisons.

scholarly journals Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town

2019 ◽  
Vol 25 (5) ◽  
pp. 495 ◽  
Author(s):  
Kimberley H. Seear ◽  
David N. Atkinson ◽  
Matthew P. Lelievre ◽  
Lynette M. Henderson-Yates ◽  
Julia V. Marley
Keyword(s):  
Prevention Program ◽  
Diabetes Prevention ◽  
Resource Constraints ◽  
Aboriginal People ◽  
Soft Drink ◽  
Diabetes Prevention Program ◽  
Aboriginal Health ◽  
Lifestyle Changes ◽  
Soft Drink Consumption ◽  
Aboriginal Women

Lifestyle changes are central to preventing type 2 diabetes. Embarking upon and sustaining change is challenging, and translation of prevention approaches into a wider range of real-world settings is needed. In this study, a locally adapted community-led diabetes prevention program with local young Aboriginal facilitators was created and trialled through the Derby Aboriginal Health Service (DAHS). The 8-week program highlighted causes and consequences of diabetes, incorporated physical activity and healthy eating topics with a focus on practical activities, and included stress management to support healthy lifestyles. Ten Aboriginal women and men aged 18–38 years participated in the pilot program. The program was found to be acceptable and appropriate, and other community members and organisations expressed interest in future participation. Participants reported that they gained important new knowledge and made changes in behaviours including shopping choices, portioning and soft drink consumption. Limitations included participant recruitment and attendance difficulties, which were attributed to program timing and competing demands. While this program was designed to be sustainable, and there were indications of feasibility, resource constraints impeded its integration into routine primary health care. Prevention of diabetes is a high priority for DAHS, and this program, with appropriate resources, provides a basis for ongoing practical prevention strategies.

Trained Volunteers With Type 2 Diabetes Experience Significant Health Benefits When Providing Peer Support

2021 ◽  
pp. 109019812110488
Author(s):  
Nikki J. Garner ◽  
Martin Pond ◽  
Sara Auckland ◽  
Mike Sampson
Keyword(s):  
Type 2 Diabetes ◽  
Lifestyle Intervention ◽  
Self Efficacy ◽  
Diabetes Prevention ◽  
Health Benefits ◽  
Diabetes Prevention Program ◽  
Well Being ◽  
Lifestyle Changes ◽  
Potential Health

Trained lay volunteers may have value in supporting lifestyle change programs in the prevention of type 2 diabetes, but the potential health benefits (or harms) experienced by these lay volunteers have not been well described. This is important, as this is an appealing model in terms of workforce planning. The aim of the prespecified quantitative study reported here, was to examine the possible health benefits or harms experienced by these trained lay volunteers with type 2 diabetes. In a large type 2 diabetes prevention program, we recruited and trained 104 lay volunteers with type 2 diabetes themselves, to act as diabetes prevention mentors and codeliver the lifestyle intervention. Mentors made motivational telephone calls to 461 participants randomized to one of the trial arms to encourage lifestyle changes. Weight, diet, physical activity, well-being, quality of life, diabetes-specific self-efficacy, and glycaemic control were measured at baseline, 12 and 24 months. Average mentor age was 62.0 years, 57 (54.8%) were male, 92 (88.5%) were overweight or obese (BMI>30 kg/m2). At 12 months, mentor dietary behaviors (fat and fiber intake) improved significantly, sedentary time spent fell significantly, and diabetes specific self-efficacy scores significantly increased. These significant improvements, with no evidence of harms, suggest lay volunteers with type 2 diabetes codelivering a lifestyle intervention, may themselves experience health benefits from volunteering.

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