Implementation of diabetes prevention programs in rural areas: Montana and south‐eastern Australia compared

Abstract

The results from this study have assisted in determining the factors that contribute to developing, establishing and implementing successful diabetes prevention programs in two rural areas. Recommendations to increase the likelihood of success of programs in rural communities include: securing funding early for the program; establishing support from community leaders and developing positive relationships with health care providers; creating a professional team with passion for the program; encouraging participants to celebrate their small and big successes; and developing procedures for providing post-intervention support to help participants maintain their success.

Review Strategies to Recruit and Retain Rural Patient Participating Self-management Behavioral Trials

“…The selected studies were conducted in three countries: the United States (Befort, Bennett, Christifano, Klemp, & Krebill, 2014; Bergeron et al, 2013 ; Dibartolo & McCrone, 2003; Miyamoto, Henderson, Young, Ward, & Santillan, 2013; Parra-Medina et al, 2004 ; Pribulick, Willams, & Fahs, 2010 ; Tanner, Kim, Friedman, Foster, & Bergeron, 2014 ) Canada ( Taylor, Stone, & Huijbregts, 2012 ), and Australia ( P. Reddy et al, 2011 ).…”

“…Reddy et al, 2011 ). The sample sizes of the studies ranged from 119 to 530 participants ( Befort et al, 2014 ; Bergeron et al, 2013 ; Dibartolo & McCrone, 2003 ; Miyamoto et al, 2013 ; Parra-Medina et al, 2004 ; Pribulick et al, 2010 ; P. Reddy et al, 2011 ; Tanner et al, 2014 ; Taylor et al, 2012 ).…”

“…Reddy et al, 2011 ; Tanner et al, 2014 ; Taylor et al, 2012 ). Among the included studies ( Befort et al, 2014 ; Befort et al, 2014 ; Bergeron et al, 2013 ; Miyamoto et al, 2013 ; Parra-Medina et al, 2004 ; Pribulick et al, 2010 ; P. Reddy et al, 2011 ; Tanner et al, 2014 ; Taylor et al, 2012 ), the mean age of participants was 59.5 years, ranging from 35 to 84 years.…”

“…Locations for recruitment included both non-healthcare settings ( Bergeron et al, 2013 ; Pribulick et al, 2010 ; Tanner et al, 2014 ; Taylor et al, 2012 ) and healthcare settings ( Befort et al, 2014 ; Dibartolo & McCrone, 2003 ; Miyamoto et al, 2013 ; Parra-Medina et al, 2004 ; P. Reddy et al, 2011 ).…”

“…Moreover, the average age of the rural population continues to increase, along with the proportion of older persons living with CVD and other comorbidities ( Dibartolo & McCrone, 2003 ; Health Data Interactive, 2014 ; National Center for Health Statistics, 2012 ). One primary approach to treat CVD and its risk factors is to promote self-management behaviors ( Gillies et al, 2007 ; P. Reddy et al, 2011 ).…”