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Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System

Background: More than 10% of US adults are living with type 2 diabetes. The Centers for Disease Control and Prevention established the National Diabetes Prevention Program (National DPP) in 2010 in an effort to delay or prevent this disease among individuals at high risk. Unfortunately, enrollment a...

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Autores principales: Baucom, Katherine Jane Williams, Pershing, Mandy L., Dwenger, Kaitlyn M., Karasawa, Michelle, Cohan, Jessica N., Ozanne, Elissa M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8139255/
https://www.ncbi.nlm.nih.gov/pubmed/34036296
http://dx.doi.org/10.1089/whr.2020.0102
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author Baucom, Katherine Jane Williams
Pershing, Mandy L.
Dwenger, Kaitlyn M.
Karasawa, Michelle
Cohan, Jessica N.
Ozanne, Elissa M.
author_facet Baucom, Katherine Jane Williams
Pershing, Mandy L.
Dwenger, Kaitlyn M.
Karasawa, Michelle
Cohan, Jessica N.
Ozanne, Elissa M.
author_sort Baucom, Katherine Jane Williams
collection PubMed
description Background: More than 10% of US adults are living with type 2 diabetes. The Centers for Disease Control and Prevention established the National Diabetes Prevention Program (National DPP) in 2010 in an effort to delay or prevent this disease among individuals at high risk. Unfortunately, enrollment and retention rates are low. This qualitative study aims to understand barriers and facilitators to enrolling and completing the National DPP among women, and to provide recommendations for improvement. Methods: Semistructured interviews were conducted with the following: (1) women who were eligible for the National DPP, but declined to enroll (n=11); (2) women who enrolled in the National DPP, but did not complete the program (n=12); and (3) clinicians who treat women eligible for the National DPP (n=12). Transcripts of the interviews were coded using content analysis. Results: The 35 interviews (23 patients and 12 clinicians) provided further insight into known barriers, such as the cost of the program, the time that it takes, and inconvenient locations. The study also identified previously undiscovered barriers, including the program not meeting participants' expectations and facilitating referrals. Furthermore, improved communication between clinicians, patients, and National DPP staff could ensure that both clinicians and National DPP staff are aware of patients' goals and their individual barriers to success. Conclusions: Enrollment and retention in the National DPP may be improved with additional communication, more training for National DPP staff to work more closely with participants, adding better incentives to participation, and making the program more accessible through flexibility in time and/or locations.
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spelling pubmed-81392552021-05-24 Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System Baucom, Katherine Jane Williams Pershing, Mandy L. Dwenger, Kaitlyn M. Karasawa, Michelle Cohan, Jessica N. Ozanne, Elissa M. Womens Health Rep (New Rochelle) Original Article Background: More than 10% of US adults are living with type 2 diabetes. The Centers for Disease Control and Prevention established the National Diabetes Prevention Program (National DPP) in 2010 in an effort to delay or prevent this disease among individuals at high risk. Unfortunately, enrollment and retention rates are low. This qualitative study aims to understand barriers and facilitators to enrolling and completing the National DPP among women, and to provide recommendations for improvement. Methods: Semistructured interviews were conducted with the following: (1) women who were eligible for the National DPP, but declined to enroll (n=11); (2) women who enrolled in the National DPP, but did not complete the program (n=12); and (3) clinicians who treat women eligible for the National DPP (n=12). Transcripts of the interviews were coded using content analysis. Results: The 35 interviews (23 patients and 12 clinicians) provided further insight into known barriers, such as the cost of the program, the time that it takes, and inconvenient locations. The study also identified previously undiscovered barriers, including the program not meeting participants' expectations and facilitating referrals. Furthermore, improved communication between clinicians, patients, and National DPP staff could ensure that both clinicians and National DPP staff are aware of patients' goals and their individual barriers to success. Conclusions: Enrollment and retention in the National DPP may be improved with additional communication, more training for National DPP staff to work more closely with participants, adding better incentives to participation, and making the program more accessible through flexibility in time and/or locations. Mary Ann Liebert, Inc., publishers 2021-05-11 /pmc/articles/PMC8139255/ /pubmed/34036296 http://dx.doi.org/10.1089/whr.2020.0102 Text en Katherine Jane Williams Baucom et al., 2021; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Baucom, Katherine Jane Williams
Pershing, Mandy L.
Dwenger, Kaitlyn M.
Karasawa, Michelle
Cohan, Jessica N.
Ozanne, Elissa M.
Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System
title Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System
title_full Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System
title_fullStr Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System
title_full_unstemmed Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System
title_short Barriers and Facilitators to Enrollment and Retention in the National Diabetes Prevention Program: Perspectives of Women and Clinicians Within a Health System
title_sort barriers and facilitators to enrollment and retention in the national diabetes prevention program: perspectives of women and clinicians within a health system
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8139255/
https://www.ncbi.nlm.nih.gov/pubmed/34036296
http://dx.doi.org/10.1089/whr.2020.0102
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