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Beginning A Patient-Centered Approach in the Design of A Diabetes Prevention Program

Objective: The purpose of this study was to identify patient preferences for different components of a local diabetes prevention program that would improve reach.A secondary purpose was to determine if patient characteristics were related to program preferences. Methods: Participants were identified...

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Detalles Bibliográficos
Autores principales: Seidel, Richard W., Pardo, Kimberlee A., Estabrooks, Paul A., Wall, Sarah S., Davy, Brenda M., Almeida, Fabio A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2014
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945581/
https://www.ncbi.nlm.nih.gov/pubmed/24534767
http://dx.doi.org/10.3390/ijerph110202003
Descripción
Sumario:Objective: The purpose of this study was to identify patient preferences for different components of a local diabetes prevention program that would improve reach.A secondary purpose was to determine if patient characteristics were related to program preferences. Methods: Participants were identified through electronic medical records from two family medicine clinics in Virginia. Participants completed a mailed survey addressing demographics, economic status, risk factors for diabetes, and preferences regarding diabetes prevention interventions—delivery mode, program length, and duration. Results: Twenty-nine percent of eligible participants responded (n = 142); 83% of participants were at risk for diabetes and 82% had a household income <$20,000.When presented with the choice between a class-based vs. a technology-based program, 83% preferred a technology-based program. Whites were less likely to choose the technology-based program, with no significant differences based on age, education, income, or gender. Conclusions: Contrary to beliefs that lower income individuals may not use technology-based interventions, lower socioeconomic patients indicated a preference for a technology- and telephone-supported diabetes prevention program over in-person class approaches. Findings provide formative data to support the design of a patient-centered, technology-enhanced diabetes prevention program in a real-world setting, thereby increasing potential participation and reach.