Teen HEED Intern, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Int J Environ Res Public Health. 2022 Aug 5;19(15):9655. doi: 10.3390/ijerph19159655.
There have been few youth-led diabetes prevention programs. Our objective was to conduct focus groups to explore peer influences on adolescent lifestyle behaviors and strategies for implementing a youth peer education model for diabetes prevention. We conducted six focus groups with 52 youth (ages 13-22; 62% male, 38% female; 64% Hispanic, 36% non-Hispanic Black) from East Harlem, NYC. We used a Thematic Analysis approach to identify major themes, compared findings, and resolved differences through discussion and consensus. Three dominant themes arose: (1) Adolescents generally encounter more unhealthy peer influences on diet and more healthy peer influences on physical activity; (2) Adolescents endorse youth-led diabetes prevention strategies and describe ideal qualities for peer leaders and methods to support and evaluate leaders; (3) Adolescents prefer text messaging to monitor behaviors, track goals, and receive personalized guidance. Using study findings, our Community Action Board developed a peer-led diabetes prevention program for prediabetic adolescents.
鲜有以青年为主导的糖尿病预防项目。我们的目的是开展焦点小组讨论，以探究同伴对青少年生活方式行为的影响，以及实施青少年同伴教育模式预防糖尿病的策略。我们在纽约市东哈莱姆区进行了六组焦点小组讨论，共有 52 名青少年（年龄 13-22 岁；62%为男性，38%为女性；64%为西班牙裔，36%为非西班牙裔黑人）参加。我们采用主题分析方法来确定主要主题，比较研究结果，并通过讨论和达成共识来解决分歧。出现了三个主要主题：（1）青少年在饮食方面普遍受到更多不健康的同伴影响，而在体育活动方面则受到更多健康的同伴影响；（2）青少年认可以青年为主导的糖尿病预防策略，并描述了理想的同伴领袖素质以及支持和评估领袖的方法；（3）青少年更喜欢通过短信来监测行为、跟踪目标和获得个性化指导。利用研究结果，我们的社区行动委员会为有前驱糖尿病的青少年制定了一个由同伴主导的糖尿病预防项目。
