Perceived Benefits and Barriers to the Diabetes Prevention Program

Abstract

Objective: Diabetes prevention interventions have a proven positive effect on health outcomes. The goal of this project is to understand the factors that motivate and deter people with prediabetes from utilizing evidence-based education programs, such as the Diabetes Prevention Program (DPP).Research Design and Methods: Formative research was conducted among program facilitators, health providers who care for diabetes patients, and patients living with prediabetes to generate an in-depth understanding of perceptions of the program. The methodology included a mixed methods approach. A total of 97 interviews and 5 focus groups were conducted with health providers, program facilitators, and patients. An online survey was administered to 50 patients with prediabetes.Results: All three populations agreed the DPP aided in implementing lifestyle changes and preventing the onset of type 2 diabetes, and the classes provided a positive experience for support, in-depth discussion, and opportunities for learning how to make lifestyle changes. However, while the overall benefits of the program were expressed, there were barriers noted by all populations that affect program utilization and physician referrals. General lack of knowledge, cost of the program, and the significant time commitment necessary to complete the program were barriers discussed. Conclusions:The Diabetes Prevention Program is successful in helping individuals with prediabetes make positive lifestyle changes. The lack of knowledge about the program, however, is a deterrent for utilization. Creation of a social marketing campaign based on the findings from this research will aim to increase healthcare provider referrals to the DPP.

A systematic review of the behaviour change techniques and digital features in technology-driven type 2 diabetes prevention interventions

“…12,14 However, despite offering greater accessibility and sustainability, 15 community-based DPIs still require face-to-face delivery, which present participation barriers such as transportation, family/work commitments, and cost. 16,17…”

Health promotion, wellness, and prevention in hand therapy: A survey study

“…The perception of lack of time and resources is consistent with reported barriers to HPWP across different health care practice settings and disciplines. 29,37,[49][50][51][52] However, the perceived lack of patient interest is not consistent with the literature. Black et al 53 found that patients believed that engaging with PTs in personal discussions of physical activity, weight management, and smoking was appropriate.…”

Perceived Benefits and Barriers of a Community-Based Diabetes Prevention and Management Program

“…The program length of one-year was not regarded as a barrier, as has been reported for the National Diabetes Prevention Program, and participants conveyed the satisfaction resulting from peer and program support as they could share their feelings, issues and struggles in a non-judgmental environment, foster peer support and encouragement, and accountability from Health Coaches [ 34 ]. The benefits of the long-term program format also allowed for incremental behavioral change and continuous feedback and support for behavior modification.…”