scholarly journals A Feasibility Study of Supply and Demand for Diabetes Prevention Programs in North Carolina

2017 ◽  
Vol 14 ◽  
Author(s):  
Maria L. Alva ◽  
Carmen D. Samuel-Hodge ◽  
Deborah Porterfield ◽  
Tainayah Thomas ◽  
Jennifer Leeman
Keyword(s):  
North Carolina ◽  
Feasibility Study ◽  
Diabetes Prevention ◽  
Supply And Demand ◽  
Prevention Programs

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 Considerations for Evaluation of Diabetes Prevention Programs in Hispanic Adults in the United States

2017 ◽  
Vol 12 (1) ◽  
pp. 21-24
Author(s):  
Jinan Banna
Keyword(s):  
United States ◽  
Diabetes Prevention ◽  
Comprehensive Evaluation ◽  
Behavioral Outcomes ◽  
Prevention Programs ◽  
The United States ◽  
Validity And Reliability ◽  
Attrition Rates ◽  
Qualitative And Quantitative ◽  
Hispanic Adults

Hispanics are at high risk for diabetes. While there have been a number of diabetes prevention programs targeting Hispanics in the United States, not all recent studies focused on evaluating such programs have made use of validated tools to examine behavior change or examined acceptability and feasibility of the intervention. Tools used to assess behavioral outcomes such as diet should be tested to ensure validity and reliability. Acceptability may be examined using qualitative and quantitative measures to obtain feedback on the content of the intervention. Feasibility of the intervention may be evidenced by the enrollment, attendance, and attrition rates, as well as barriers or facilitators to participating in the program. Appropriate and comprehensive evaluation of such programs will allow for continued improvement of prevention efforts to address high rates of diabetes in this at-risk population.

Diabetes Prevention Programs in Rural North America: a Systematic Scoping Review

2019 ◽  
Vol 19 (7) ◽  
Author(s):  
Christie Rosputni ◽  
Eliza Short ◽  
Martina Rahim-Sepulveda ◽  
Carol L. Howe ◽  
Vanessa da Silva ◽  
...  
Keyword(s):  
North America ◽  
Scoping Review ◽  
Diabetes Prevention ◽  
Prevention Programs

scholarly journals Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Valy Fontil ◽  
Kelly McDermott ◽  
Lina Tieu ◽  
Christina Rios ◽  
Eliza Gibson ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Low Income ◽  
Prevention Program ◽  
Technology Implementation ◽  
Diabetes Prevention ◽  
Digital Health ◽  
Academic Research ◽  
Diabetes Prevention Program ◽  
Safety Net ◽  
Reading Level

Background. The feasibility of digital health programs to prevent and manage diabetes in low-income patients has not been adequately explored. Methods. Researchers collaborated with a digital health company to adapt a diabetes prevention program for low-income prediabetes patients at a large safety net clinic. We conducted focus groups to assess patient perspectives, revised lessons for improved readability and cultural relevance to low-income and Hispanic patients, conducted a feasibility study of the adapted program in English and Spanish speaking cohorts, and implemented real-time adaptations to the program for commercial use and for a larger trial of in multiple safety net clinics. Results. The majority of focus group participants were receptive to the program. We modified the curriculum to a 5th-grade reading level and adapted content based on patient feedback. In the feasibility study, 54% of eligible contacted patients expressed interest in enrolling (n=23). Although some participants’ computer access and literacy made registration challenging, they were highly satisfied and engaged (80% logged in at least once/week). Conclusions. Underserved prediabetic patients displayed high engagement and satisfaction with a digital diabetes prevention program despite lower digital literacy skills. The collaboration between researchers and a digital health company enabled iterative improvements in technology implementation to address challenges in low-income populations.

Diabetes Prevention Programs

2011 ◽  
Vol 95 (2) ◽  
pp. 353-372 ◽  
Author(s):  
A. Ramachandran ◽  
C. Snehalatha
Keyword(s):  
Diabetes Prevention ◽  
Prevention Programs

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.

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