Women’s Wellness with Type 2 Diabetes Program (WWDP): Qualitative findings from the UK and Australian feasibility study

Anderson, Debra; Sturt, Jackie; McDonald, Nicole; Sapkota, Diksha; Porter-Steele, Janine; Rogers, Rebecca; Temple, Ayako; Seib, Charrlotte; McGuire, Amanda; Tjondronegoro, Dian; Walker, Rosie M.; Al-Khudairy, Lena; White, Codi

doi:10.1016/j.diabres.2021.108654

Cited by 3 publications

(4 citation statements)

References 28 publications

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“…The qualitative data from the focus groups will inform measurement burden, acceptability, potential translation, and ease of intervention access, which has not been evaluated in other community-based studies with Māori and Pasifika communities in Australia. The potential for success of the proposed intervention will be examined using accessibility, acceptability, uptake, sustainability, adherence, participants’ perceptions of measurement burden, effectiveness of the recruitment strategy and retention, and the participants’ overall experience, based on women’s wellness resulting from type 2 diabetes programs [ 16 ]. This will inform the program’s cultural adaptability, acceptability, and feasibility for future studies.…”

Section: Discussionmentioning

confidence: 99%

“…Encouraging healthier behaviors in Māori and Pasifika women with type 2 diabetes could potentially improve the health and well-being of women [ 15 , 16 ]. Modification of personal behaviors through women’s wellness programs aimed at early intervention have been shown to reduce the risk of developing complications in established type 2 diabetes and may reduce hospitalization rates due to preventable complications [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Modification of personal behaviors through women’s wellness programs aimed at early intervention have been shown to reduce the risk of developing complications in established type 2 diabetes and may reduce hospitalization rates due to preventable complications [ 14 ]. A qualitative study of a multimodal behavioral intervention, the Women’s Wellness with Type 2 Diabetes, found it to be effective at supporting women with developing strategies to improve their well-being and avoid complications associated with diabetes [ 16 ]. Another study with Māori and Pasifika women with type 2 diabetes in Queensland reported effective strategies to improve self-management through culturally appropriate interventions and educational resources [ 15 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of the Pasifika Women’s Diabetes Wellness Program (PWDWP): Protocol for a Pilot Intervention and Feasibility Randomized Controlled Trial

Akbar,

Contor,

Niumata

et al. 2024

JMIR Res Protoc

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Background Type 2 diabetes poses public health challenges for Māori and Pasifika communities in Australia. The women of these communities face a greater burden from type 2 diabetes–related mortality and comorbidities. Lifestyle modification behaviors through previous women’s wellness programs have been shown to reduce the risk of developing complications in established type 2 diabetes. The Pasifika Women’s Diabetes Wellness Program (PWDWP) pilot study, co-designed with Māori and Pasifika communities, was aimed at addressing late hospital presentations from diabetes-related complications. Objective This study (1) examines the efficacy of women with type 2 diabetes in the intervention group for improved glycated hemoglobin (HbA1c) clinical levels and diabetes self-management compared with the control group from baseline (T0) to week 12 (T1) and week 24 (T2; postintervention) and (2) assesses the cultural adaptability, acceptability, and feasibility of the pilot intervention for future studies. Methods This study uses a quasiexperimental design that involves a 24-week intervention. We recruited 50 Māori and Pasifika women with type 2 diabetes (25 in the intervention group from the south side of Brisbane and 25 in the control group from the north side of Brisbane) using participatory talanoa methodologies. The intervention group participated in face-to-face and virtual whānau education workshops (5 weeks) and had access to individual coaching and virtual support delivered by trained Māori and Pasifika health professionals and community health workers. The control group received usual care with their identified health provider. Both groups received copies of the PWDWP journal, fact sheets, and a health check passbook with tailored motivational text messages. An advisory committee was set up to oversee the program implementation, including protocols of engagement, health checks, and data collection in community settings. The quantitative data were collected at T0, T1, and T2 with HbA1c as the primary outcome measure. Secondary outcomes measured changes in diabetes self-care and body composition (eg, BMI, waist circumference). Qualitative data will ascertain the program’s feasibility and cultural adaptability using talanoa focus groups. Results This pilot study was approved by the Queensland University of Technology Human Ethic Research Committee (5609) and began in January 2023 after participant recruitment between July 2022 and December 2022. The final data collection including the health check, focus group, and survey data was completed in November 2023, and data analysis and reporting are expected to conclude in 2024. Conclusions This study provides a blueprint for PWDWP. Collaborative partnerships with community organizations and stakeholders are crucial for program success and suggest a potential model for targeting diabetes management for Māori and Pasifika communities, emphasizing the need for culturally relevant interventions. The findings will have significant implications for policymakers and practitioners when developing and implementing public health initiatives, particularly for communities with unique cultural nuances. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12622001100785p; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=384470&isReview=true International Registered Report Identifier (IRRID) DERR1-10.2196/55435

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of the Pasifika Women’s Diabetes Wellness Program (PWDWP): Protocol for a Pilot Intervention and Feasibility Randomized Controlled Trial

Akbar,

Contor,

Niumata

et al. 2024

JMIR Res Protoc

Self Cite

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“…This sense of agency however sometimes took time to develop, and often depended on the language proficiency of patients. (27)(28)(29) Patients appreciated that the CPL prepared them for CSP conversation (9,30) and that the non-administrative empathetic and motivational role of the programme coordinator cohered with the literature on the positive contribution of health coaches as facilitators and advocates for persons living with diabetes in primary care settings (31). Participants also noted that personalised CSP conversations contrasted with usual consultations in that time was intentionally set aside, providers listened better, and these fostered better patient-provider relationships.…”

Section: Comparison With Existing Literaturementioning

confidence: 89%

Personalised care and support planning in Singapore: qualitative interviews with people living with diabetes

Lazarus,

Yew,

Tan

et al. 2023

BJGP Open

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BackgroundPersonalised care-and-support-planning (CSP) is a person-centred approach for the care of persons living with long-term conditions. PACE-D or Patient Activation through Community Empowerment/ Engagement for Diabetes Management adapts the Year of Care Partnerships (YOCP) approach to CSP in the UK for persons living with diabetes at the Singapore polyclinic; multi-storey primary care hubs that provide affordable, multidisciplinary, comprehensive, and high-throughput public healthcare for the multi-ethnic, multi-lingual Singapore population.AimTo explore the experience of PACE-D enrolled persons living with diabetes with personalised CSP at Singapore polyclinics.Design & settingQualitative interviews of persons living with diabetes who experienced personalised CSP at National University Polyclinics (NUP) between July 2020 and November 2021.MethodPACE-D enrolled persons living with diabetes who experienced personalised CSP were purposively sampled. In-depth semi-structured interviews were recorded, transcribed, and analysed using Braun & Clarke’s reflexive thematic analysis.Results52 patients participated in the study. Patients reported that the care-planning-letter (CPL) prompted reflection and patient preparation for CSP conversations. PACE-D programme coordinators amplified self-management by playing advocate and confidant beyond administrative duties. CSP providers were perceived as partners-in-care, with more time to listen compared to usual consultations. Patient engagement was affected by language confidence. With adequate time and support, patients increased in confidence and agency both in CSP engagement and diabetes self-management.ConclusionWhile language confidence may affect patient engagement, personalised CSP shows promise for strengthening patient engagement and self-management among persons living with diabetes at the Singapore polyclinic.

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Feasibility of a multiple health behavior change program for premenstrual symptoms in university students: A study protocol

Marwah¹,

McGuire²,

Cooke³

et al. 2021

European Journal of Integrative Medicine

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Women’s Wellness with Type 2 Diabetes Program (WWDP): Qualitative findings from the UK and Australian feasibility study

Cited by 3 publications

References 28 publications

Effectiveness of the Pasifika Women’s Diabetes Wellness Program (PWDWP): Protocol for a Pilot Intervention and Feasibility Randomized Controlled Trial

Effectiveness of the Pasifika Women’s Diabetes Wellness Program (PWDWP): Protocol for a Pilot Intervention and Feasibility Randomized Controlled Trial

Personalised care and support planning in Singapore: qualitative interviews with people living with diabetes

Feasibility of a multiple health behavior change program for premenstrual symptoms in university students: A study protocol

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