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Reach, acceptability, and perceived success of a telehealth diabetes prevention program among racially and ethnically diverse patients with gestational diabetes: the GEM cluster-randomized trial.
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- Author(s): Brown SD;Brown SD;Brown SD; Hedderson MM; Hedderson MM; Gordon N; Gordon N; Albright CL; Albright CL; Tsai AL; Tsai AL; Quesenberry CP; Quesenberry CP; Ferrara A; Ferrara A
- Source:
Translational behavioral medicine [Transl Behav Med] 2022 Jul 18; Vol. 12 (7), pp. 793-799.- Publication Type:
Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.; Research Support, N.I.H., Extramural- Language:
English - Source:
- Additional Information
- Source: Publisher: Oxford University Press Country of Publication: England NLM ID: 101554668 Publication Model: Print Cited Medium: Internet ISSN: 1613-9860 (Electronic) Linking ISSN: 16139860 NLM ISO Abbreviation: Transl Behav Med Subsets: MEDLINE
- Publication Information: Publication: 2018- : [Oxford] : Oxford University Press
Original Publication: New York : Springer - Subject Terms:
- Abstract: Patients with gestational diabetes mellitus and from racial/ethnic minority groups face disproportionate risk for type 2 diabetes. Lifestyle interventions, if accessible and acceptable to diverse patients, could advance diabetes prevention and mitigate racial/ethnic disparities. Here we describe overall and race/ethnicity-specific reach, acceptability, and perceived success from an effective telehealth diabetes prevention lifestyle program for patients with gestational diabetes mellitus, implemented in the Gestational Diabetes Effects on Moms (GEM) cluster-randomized controlled trial. GEM tested a program of 13 telephone sessions and behavior change techniques (BCTs, e.g., goal setting) in a healthcare system. We evaluated participation (completing ≥1 session), acceptability of BCTs, and perceived success reaching program goals. Among 1,087 patients (75.2% from minority groups), 50.3% participated. Participation rates were 61.7% among Black, 56.4% among Hispanic, 55.6% among multiracial/other, 53.0% among White, and 43.7% among Asian/Pacific Islander patients. Evaluation survey respondents (n = 433/547; 79.2%) largely rated BCTs as very helpful (range 40.9%-58.4%) or moderately helpful (27.3%-34.9%). Respondents from minority groups largely rated goal setting for weight management as very or moderately helpful, with fewer minority respondents rating it as only a little/not at all helpful than White respondents (p = .02). Black and White respondents reported more limited success reaching a healthy weight than Asian/Pacific Islander, Hispanic, and multiracial/other women (p = .005). A telehealth diabetes prevention lifestyle program demonstrated reach and acceptability across racial/ethnic groups. While perceived success can be improved among Black and White participants, such programs could promote access to preventive care and help mitigate disparities in diabetes risk.
(© Society of Behavioral Medicine 2022. All rights reserved. For permissions, please e-mail: [email protected].) - References: J Consult Clin Psychol. 2013 Apr;81(2):336-46. (PMID: 23106759)
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J Gen Intern Med. 2001 Sep;16(9):606-13. (PMID: 11556941) - Grant Information: P30 DK092924 United States DK NIDDK NIH HHS; R01 HS019367 United States HS AHRQ HHS; R03 DK113325 United States DK NIDDK NIH HHS
- Contributed Indexing: Keywords: Gestational diabetes; Implementation; Lifestyle intervention; Program evaluation; Type 2 diabetes prevention
- Publication Date: Date Created: 20220718 Date Completed: 20220721 Latest Revision: 20230719
- Publication Date: 20231215
- Accession Number: PMC9291385
- Accession Number: 10.1093/tbm/ibac019
- Accession Number: 35849139
- Source:
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