Tailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes.
Tailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes.
复制标题
调整基于证据的生活方式干预措施，以满足患有糖尿病前期的退伍军人的需求。
DOI：
10.1080/03630242.2019.1710892
复制
发表时间：
2020-08
期刊：
影响因子：
1.6
通讯作者：
Moin T MD, MBA, MSHS
中科院分区：
文献类型：
--
作者：
Dyer KE;Moreau JL PhD, MPH;Finley E PhD, MPH;Bean-Mayberry B MD, MHS;Farmer MM;Bernet D MS, RDN;Kress A MS, RD, LDN;Lewis JL;Batuman FK MD, FACP;Haskell SG;Hamilton AB PhD, MPH;Moin T MD, MBA, MSHS
三分之一的美国成年人患有前驱糖尿病。生活方式改变干预措施，如糖尿病预防计划（DPP），可以显著降低2型糖尿病的风险，但对于DPP如何最适合女性知之甚少。这项混合方法研究评估了性别定制和模式选择对糖尿病前期女性退伍军人DPP参与的影响。参与者被提供了仅限女性的小组，或者是面对面的/同伴领导的，或者是在线的方式。通过出勤记录、招募电话和关于患者偏好的半结构化访谈来评估实施结果。我们在2016年8月至9月（n = 10个早期实施）和2017年3月至7月（n = 12个随访）期间进行了22次访谈。大多数受访者更喜欢女性团体，理由是她们更舒适，更有同志情谊，并且对改变生活方式的性别障碍有相互理解。更多的女性更喜欢在线DPP，使用这种方式的女性参与率更高。大多数人赞同模式选择的重要性，并对他们的选择感到满意；然而，选择往往是基于参与者的个人情况和获取障碍，而不是基于两个同等可获得的选项中的“首选”。通过针对特定人群的需求定制DPP，可以扩大患者参与度和项目覆盖范围。
Prediabetes affects one-third of U.S. adults. Lifestyle change interventions, such as the Diabetes Prevention Program (DPP), can significantly lower type 2 diabetes risk, but little is known about how the DPP could be best adapted for women. This mixed-methods study assessed the impact of gender-tailoring and modality choice on DPP engagement among women Veterans with prediabetes. Participants were offered women-only groups and either in-person/peer-led or online modalities. Implementation outcomes were assessed using attendance logs, recruitment calls, and semi-structured interviews about patient preferences. Between June 2016 and March 2017, 119 women Veterans enrolled in the DPP (n = 51 in-person, n = 68 online). We conducted 22 interviews between August and September 2016 (n = 10 early-implementation) and March and July 2017 (n = 12 follow-up). Most interviewees preferred women-only groups, citing increased comfort, camaraderie, and mutual understanding of gender-specific barriers to lifestyle change. More women preferred online DPP, and those using this modality participated at higher rates. Most endorsed the importance of modality choice and were satisfied with their selection; however, selection was frequently based on participants’ personal circumstances and access barriers and not on a “preferred choice” of two equally accessible options. Patient engagement and program reach can be expanded by tailoring the DPP for population-specific needs.
登录
查看更多内容
影响因子：
20.3
作者：
Kautzky-Willer A;Harreiter J;Pacini G
通讯作者：
Pacini G
影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
DOI：
10.1186/s13012-017-0658-9
发表时间：
2017-11-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Hamilton AB;Farmer MM;Moin T;Finley EP;Lang AJ;Oishi SM;Huynh AK;Zuchowski J;Haskell SG;Bean-Mayberry B
通讯作者：
Bean-Mayberry B
影响因子：
3.5
作者：
Fontana, A;Rosenheck, R
通讯作者：
Rosenheck, R
影响因子：
3.9
作者：
Kramer, M. Kaye;McWilliams, Janis R.;Siminerio, Linda M.
通讯作者：
Siminerio, Linda M.