Shawley-Brzoska Samantha, Misra Ranjita
School of Public Health, West Virginia University, Morgantown, WV 26506, USA.
J Clin Med. 2018 Mar 13;7(3):58. doi: 10.3390/jcm7030058.
This study examined the perceptions of benefits of and barriers to participating in a community-based diabetes program to improve program effectiveness. The Diabetes Prevention and Management (DPM) program was a twenty-two session, 1-year program, modeled after the evidence-based National Diabetes Prevention Program and AADE7 Self-Care Behaviors framework. Community-based participatory research approach was used to culturally tailor the curriculum. Participants included overweight or obese adults with dysglycemia. A benefits and barriers survey was developed to gather information on participants' perception of the program, as well as information on demographics and health literacy levels. Eighty-nine adults participated in the DPM program (73% females; 62% diabetic; 77% had adequate health literacy); 79% of participants completed the benefits and barriers survey. Principal component analysis indicated two components representing benefits (Cronbach's α = 0.83) and barriers (α = 0.65). The majority perceived high benefits and low barriers to program participation; benefits included helpful interaction with health coach or program leader (73%), improved lifestyle modification (65%) due to the program, and satisfaction with the program (75%). Open-ended questions confirmed themes related to benefits of program participation, suggestion for programmatic improvements as well as barriers to participation. Participant feedback could be used to guide interventions and tailor future program implementation.
本研究调查了参与一项基于社区的糖尿病项目的益处和障碍认知，以提高项目成效。糖尿病预防与管理（DPM）项目为期一年，共二十二节课程，仿照循证的国家糖尿病预防项目和美国糖尿病教育者协会（AADE）的7项自我护理行为框架设立。采用基于社区的参与性研究方法对课程进行文化调适。参与者包括患有血糖异常的超重或肥胖成年人。开发了一份关于益处和障碍的调查问卷，以收集参与者对该项目的认知信息，以及人口统计学和健康素养水平方面的信息。89名成年人参与了DPM项目（73%为女性；62%患有糖尿病；77%具备足够的健康素养）；79%的参与者完成了益处和障碍调查问卷。主成分分析表明存在两个分别代表益处（克朗巴哈系数α = 0.83）和障碍（α = 0.65）的成分。大多数人认为参与该项目的益处高而障碍低；益处包括与健康教练或项目负责人进行有益的互动（73%）、因该项目改善生活方式（65%）以及对该项目感到满意（75%）。开放式问题证实了与项目参与益处、项目改进建议以及参与障碍相关的主题。参与者的反馈可用于指导干预措施，并为未来项目的实施进行调适。
