Tailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes.

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  • Additional Information
    • Source:
      Publisher: Routledge Country of Publication: United States NLM ID: 7608076 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0331 (Electronic) Linking ISSN: 03630242 NLM ISO Abbreviation: Women Health Subsets: MEDLINE
    • Publication Information:
      Publication: Philadelphia : Routledge
      Original Publication: Old Westbury, N. Y., Biological Sciences Program, State Univ. of New York, College at Old Westbury.
    • Subject Terms:
      Veterans*; Behavior Therapy/*methods ; Diabetes Mellitus, Type 2/*prevention & control ; Evidence-Based Medicine/*methods ; Health Promotion/*methods ; Prediabetic State/*therapy ; Weight Reduction Programs/*methods; Adult ; Electronic Health Records/statistics & numerical data ; Female ; Glycated Hemoglobin/analysis ; Humans ; Interviews as Topic ; Life Style ; Middle Aged ; Patient Participation ; Prediabetic State/blood ; Qualitative Research ; Social Support ; Treatment Outcome ; United States ; United States Department of Veterans Affairs/statistics & numerical data ; Veterans Health
    • Abstract:
      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.
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    • Grant Information:
      IK6 HX003394 United States HX HSRD VA; IP1 HX001987 United States HX HSRD VA; UL1 TR001863 United States TR NCATS NIH HHS
    • Contributed Indexing:
      Keywords: Diabetes prevention; Veterans; gender differences; implementation science; patient engagement; social support; weight loss
    • Accession Number:
      0 (Glycated Hemoglobin A)
    • Publication Date:
      Date Created: 20200122 Date Completed: 20210325 Latest Revision: 20240820
    • Publication Date:
      20240820
    • Accession Number:
      PMC8435559
    • Accession Number:
      10.1080/03630242.2019.1710892
    • Accession Number:
      31959089