Jennifer Carroll1,2, Paul Winters1, Kevin Fiscella1, Geoffrey Williams2, Jean Bauch3, Linda Clark4, James Sutton5, Nancy Bennett6. 1. University of Rochester Medical Center, Family Medicine Research Programs, Rochester, New York (Dr Carroll, Mr Winters, Dr Fiscella) 2. University of Rochester Medical Center, Center for Community Health, Rochester, New York (Dr Carroll, Dr Williams) 3. Unity Hospital Diabetes, Endocrinology and Care Management, Rochester, New York (Ms Bauch) 4. Anthony L. Jordan Health Centers, Special Programs and Services, Rochester, New York (Dr Clark) 5. Rochester General Medical Group, Office of Community Medicine, Rochester, New York (Dr Sutton) 6. University of Rochester Medical Center, Center for Community Health Department of Medicine, Rochester, New York (Dr Bennett)
Abstract
PURPOSE: The purpose of this report is to describe lessons learned about the feasibility of recruitment and implementation of low-income adults with prediabetes in primary care clinics into diabetes prevention programs. METHODS: Mixed methods process evaluation of a pragmatic 2-group pilot comparative effectiveness study of a community-developed Healthy Living Program (HLP) and a Diabetes Prevention Program (DPP) with 58 adults. RESULTS:Of the total (n = 1215) assessed for eligibility, 7% (n = 92) were randomized, 58 completed the baseline assessment, and 31 completed the intervention. The process evaluation identified difficulty in systematically screening potentially eligible patients. There were several logistic and staffing challenges with program planning and initial start-up. CONCLUSIONS: Addressing challenges to feasibility is required for successful translation of evidence-based programs to clinical settings.
RCT Entities:
PURPOSE: The purpose of this report is to describe lessons learned about the feasibility of recruitment and implementation of low-income adults with prediabetes in primary care clinics into diabetes prevention programs. METHODS: Mixed methods process evaluation of a pragmatic 2-group pilot comparative effectiveness study of a community-developed Healthy Living Program (HLP) and a Diabetes Prevention Program (DPP) with 58 adults. RESULTS: Of the total (n = 1215) assessed for eligibility, 7% (n = 92) were randomized, 58 completed the baseline assessment, and 31 completed the intervention. The process evaluation identified difficulty in systematically screening potentially eligible patients. There were several logistic and staffing challenges with program planning and initial start-up. CONCLUSIONS: Addressing challenges to feasibility is required for successful translation of evidence-based programs to clinical settings.
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