Caroline R Harrison1, Phoutdavone Phimphasone-Brady2, Becky DiOrio3, Silvia G Raghuanath4, Riley Bright4, Natalie D Ritchie4,5,6, Katherine A Sauder1,7,8. 1. Department of Epidemiology, Colorado School of Public Health, Aurora, Colorado. 2. Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado. 3. Colorado Department of Public Health and Environment, Denver, Colorado. 4. Denver Health and Hospital Authority, Denver, Colorado. 5. Department of Psychiatry, University of Colorado School of Medicine, Aurora, Colorado. 6. College of Nursing, University of Colorado, Aurora, Colorado. 7. Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado. 8. Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado, Aurora, Colorado.
Abstract
PURPOSE: The purpose of this study was to understand barriers and facilitators to engagement in a diabetes prevention program for young women at an urban safety-net health care system. METHODS: Individual semistructured interviews (N = 29) explored motivations, challenges, and successes regarding participation and suggestions for improvement among women aged 18 to 39 years who enrolled in the National Diabetes Prevention Program in the past 2 years. Participants were classified as nonattendees (n = 10), early-withdrawers (n = 9), or completers (n = 10). Interview transcriptions were analyzed using a grounded hermeneutic editing approach. RESULTS: Qualitative analysis revealed 4 main themes (enrollment, attendance, experience, and suggestions) with multiple subthemes. Most women were motivated to enroll for health and family concerns. Early-withdrawers and nonattendees reported confusion about the program's aim and relevancy, logistical barriers, and lack of connection with fellow participants/coaches. Highly engaged women noted persistent motivation, perceived weight loss, and supportive program relationships. CONCLUSIONS: Multiple barriers/facilitators for young women appear addressable in future adaptations. Additional research is needed to confirm these findings in other settings and explore implementation and effectiveness of adaptations, with a goal of reducing risks prior to conception.
PURPOSE: The purpose of this study was to understand barriers and facilitators to engagement in a diabetes prevention program for young women at an urban safety-net health care system. METHODS: Individual semistructured interviews (N = 29) explored motivations, challenges, and successes regarding participation and suggestions for improvement among women aged 18 to 39 years who enrolled in the National Diabetes Prevention Program in the past 2 years. Participants were classified as nonattendees (n = 10), early-withdrawers (n = 9), or completers (n = 10). Interview transcriptions were analyzed using a grounded hermeneutic editing approach. RESULTS: Qualitative analysis revealed 4 main themes (enrollment, attendance, experience, and suggestions) with multiple subthemes. Most women were motivated to enroll for health and family concerns. Early-withdrawers and nonattendees reported confusion about the program's aim and relevancy, logistical barriers, and lack of connection with fellow participants/coaches. Highly engaged women noted persistent motivation, perceived weight loss, and supportive program relationships. CONCLUSIONS: Multiple barriers/facilitators for young women appear addressable in future adaptations. Additional research is needed to confirm these findings in other settings and explore implementation and effectiveness of adaptations, with a goal of reducing risks prior to conception.
Authors: Jonathan H Hori; Elizabeth X Sia; Kimberly G Lockwood; Lisa A Auster-Gussman; Sharon Rapoport; OraLee H Branch; Sarah A Graham Journal: Behav Sci (Basel) Date: 2022-05-24
Authors: Katherine J W Baucom; Tali Bauman; Manuel Gutierrez Chavez; Yanina Nemirovsky; Monique C Aguirre; Carmen Ramos; Anu Asnaani; Cassidy A Gutner; Natalie D Ritchie; Megha Shah Journal: Transl Behav Med Date: 2022-08-17 Impact factor: 3.626
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