The University of British Columbia, Kelowna, British Columbia, Canada.
Brock University, St. Catharines, Ontario, Canada.
Health Promot Pract. 2024 Mar;25(2):274-284. doi: 10.1177/15248399221115066. Epub 2022 Sep 1.
To manage the rising prevalence of type 2 diabetes mellitus, sustainable diabetes prevention programs are needed. In this study, a process evaluation was conducted to qualitatively understand perceived successes and challenges of a diabetes prevention program situated in the community. This study took place in the first year of a multiyear project. Semistructured interviews were conducted with a sample of women clients (n = 14) postprogram and trainers (n = 10) 9 months into program implementation. Interviews were audio-recoded, transcribed verbatim, and analyzed using a Template Approach. Data were first analyzed deductively into two categories that aligned with the study's purpose (successes and challenges). Second, an inductive analysis was used to understand program delivery processes within each category. Clients and trainers expressed (a) program successes related to recruitment strategy, outlook on making behavior changes, and communication style used within the program and (b) program challenges surrounding effort of learning and applying the communication strategy, usefulness of program applications and tools, and program fit. This evaluation provides practical implications and future directions for diabetes prevention programs, and has informed tailoring and expansion of the program of focus. Results demonstrate the success of motivational interviewing from both client and trainer perspectives and the impact of community partnerships to increase prediabetes awareness in the community. Overall, the program's diabetes prevention and behavior change strategies coupled with a client-centered approach facilitated women clients in making diet and exercise modifications.
为了应对 2 型糖尿病发病率的上升，需要可持续的糖尿病预防计划。本研究对一个位于社区的糖尿病预防计划进行了过程评估，旨在从定性角度了解其成功经验和面临的挑战。本研究是一个多年项目的第一年进行的。在项目实施 9 个月后，对项目结束后的女性客户（n=14）和培训师（n=10）样本进行了半结构化访谈。访谈进行了录音，逐字转录，并使用模板方法进行了分析。数据首先根据研究目的（成功经验和挑战）进行了演绎分析，分为两类。其次，使用归纳分析来理解每个类别中的计划交付过程。客户和培训师表示（a）在招聘策略、改变行为的前景以及项目中使用的沟通方式方面取得了计划成功；（b）在学习和应用沟通策略、项目应用和工具的有用性以及项目适应性方面存在计划挑战。这项评估为糖尿病预防计划提供了实际意义和未来方向，并为计划的调整和扩展提供了信息。结果从客户和培训师的角度展示了动机访谈的成功，以及社区伙伴关系对提高社区对糖尿病前期认识的影响。总体而言，该计划的糖尿病预防和行为改变策略以及以客户为中心的方法促进了女性客户进行饮食和运动的调整。
