Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.
Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.
J Nutr Educ Behav. 2023 Feb;55(2):114-124. doi: 10.1016/j.jneb.2022.10.013.
To explore the overall experiences of key players involved in a culturally adapted, online, synchronous diabetes nutrition education program across 5 reservation tribal and intertribal urban Indian clinics.
A multimethods design, including postclass surveys with Likert-scale and short-answer questions, was completed after each of the 5 classes. Participants (n = 54) and class facilitators/coordinators (n = 10) completed postclass surveys (n = 189 and 58, respectively). A subset of participants (n = 24) and all class facilitators/coordinators (n = 10) engaged in online focus groups after the conclusion of program implementation. Qualitative thematic methods and frequency distributions were used to analyze the data.
Most participants reported that the classes were enjoyable (94%), culturally respectful (77%), and easily accessed online (68%). Qualitative themes included (1) class satisfaction, (2) class improvements, (3) preference for class facilitator, and (4) recommendations to improve recruitment and retention.
These findings will guide program modifications to provide improved diabetes nutrition education for American Indians and Alaska Natives adults with type 2 diabetes.
探索在 5 个保留地部落和部落间城市印第安诊所中，参与文化适应性、在线同步糖尿病营养教育计划的主要参与者的总体体验。
在每 5 节课后，采用包括李克特量表和简答题的后测调查在内的多方法设计。参与者（n=54）和班级协调员/协调员（n=10）分别完成了后测调查（n=189 和 58）。在计划实施结束后，一小部分参与者（n=24）和所有班级协调员/协调员（n=10）参与了在线焦点小组讨论。采用定性主题方法和频率分布对数据进行分析。
大多数参与者表示课程有趣（94%）、文化上尊重（77%）、在线访问方便（68%）。定性主题包括（1）课程满意度，（2）课程改进，（3）对课程协调员的偏好，以及（4）改进招募和保留的建议。
这些发现将指导计划的修改，为 2 型糖尿病的美国印第安人和阿拉斯加原住民成年人提供更好的糖尿病营养教育。
