W Seidel Richard, Pardo Kimberlee A, A Estabrooks Paul, WenYou Emptyyn Y, Wall Sarah S, M Davy Brenda, A Almeida Fabio
Department of Psychiatry, Virginia Tech Carilion School of Medicine, 2017 South Jefferson Street, Roanoke, VA 24014, USA.
Fralin Translational Obesity Research Center, Department of Human Nutrition, Foods and Exercise, Virginia Tech, 215 War Memorial Hall, Blacksburg, VA 24061, USA.
Int J Environ Res Public Health. 2014 Feb 14;11(2):2003-13. doi: 10.3390/ijerph110202003.
The purpose of this study was to identify patient preferences for different components of a local diabetes prevention program that would improve reach. A secondary purpose was to determine if patient characteristics were related to program preferences.
Participants were identified through electronic medical records from two family medicine clinics in Virginia. Participants completed a mailed survey addressing demographics, economic status, risk factors for diabetes, and preferences regarding diabetes prevention interventions-delivery mode, program length, and duration.
Twenty-nine percent of eligible participants responded (n = 142); 83% of participants were at risk for diabetes and 82% had a household income <$20,000. When presented with the choice between a class-based vs. a technology-based program, 83% preferred a technology-based program. Whites were less likely to choose the technology-based program, with no significant differences based on age, education, income, or gender.
Contrary to beliefs that lower income individuals may not use technology-based interventions, lower socioeconomic patients indicated a preference for a technology- and telephone-supported diabetes prevention program over in-person class approaches. Findings provide formative data to support the design of a patient-centered, technology-enhanced diabetes prevention program in a real-world setting, thereby increasing potential participation and reach.
本研究旨在确定患者对当地糖尿病预防项目不同组成部分的偏好，以提高项目的覆盖面。次要目的是确定患者特征是否与项目偏好相关。
通过弗吉尼亚州两家家庭医学诊所的电子病历识别参与者。参与者完成了一份邮寄调查，内容涉及人口统计学、经济状况、糖尿病风险因素以及对糖尿病预防干预措施的偏好——交付方式、项目时长和持续时间。
29%的符合条件参与者做出了回应（n = 142）；83%的参与者有患糖尿病的风险，82%的家庭收入低于20,000美元。在基于课堂的项目和基于技术的项目之间进行选择时，83%的人更喜欢基于技术的项目。白人选择基于技术项目的可能性较小，在年龄、教育程度、收入或性别方面没有显著差异。
与低收入个体可能不会使用基于技术的干预措施的看法相反，社会经济地位较低的患者表示，比起面对面授课方式，他们更喜欢有技术和电话支持的糖尿病预防项目。研究结果提供了形成性数据，以支持在现实环境中设计以患者为中心、技术强化的糖尿病预防项目，从而提高潜在参与度和覆盖面。
