David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Altman Clinical and Translational Research Institute (ACTRI), University of California, San Diego, USA.
BMC Public Health. 2024 Oct 11;24(1):2777. doi: 10.1186/s12889-024-20198-1.
The University of California's Diabetes Prevention Program (UC DPP) Initiative was implemented systemwide to address diabetes and obesity risk on all 10 campuses. As little is known about implementing lifestyle change programs in university settings, we examined implementation partners' (i.e., UC DPP leaders and campus leads) perceptions of factors influencing program success on UC campuses.
We conducted qualitative interviews with UC DPP leaders and campus leads to examine challenges and opportunities with university-based DPP delivery models. Interviews were recorded, professionally transcribed, and reviewed in detail by the research team. Transcripts were analyzed using rapid qualitative analysis (RQA). The study was approved by the UCLA Institutional Review Board. All implementation partners provided verbal informed consent.
Twenty-six implementation partners (8 UC DPP leaders and 18 campus leads) completed interviews in 2021. Seven themes were identified as critical for implementation, including (1) marketing and recruitment (i.e., market and recruit broadly through established channels as well as target at-risk populations); (2) enrollment (i.e., offer the program during convenient times and let participants know what to expect); (3) use an adaptable, evidence-based program; (4) secure funding for the program, participants, lifestyle coaches, and space; (5) hire experienced and dedicated staff and lifestyle coaches; (6) ensure leadership support; and (7) utilize campus linkages and resources. Perceptions of challenges faced with respect to these themes are also described.
This is one of the first studies to examine the challenges and opportunities of delivering an intensive lifestyle change program across 10 university sites. Understanding factors that enhance success of university-based diabetes prevention programs can facilitate UC DPP efforts and help inform delivery strategies of health and wellness programs across other university settings more broadly.
加利福尼亚大学的糖尿病预防计划（UC DPP）倡议在全系统范围内实施，以解决所有 10 个校区的糖尿病和肥胖风险。由于在大学环境中实施生活方式改变计划的情况知之甚少，我们研究了实施伙伴（即 UC DPP 领导者和校园负责人）对影响 UC 校园计划成功的因素的看法。
我们对 UC DPP 领导者和校园负责人进行了定性访谈，以研究基于大学的 DPP 交付模式所面临的挑战和机遇。对访谈进行了记录、专业转录，并由研究团队进行了详细审查。使用快速定性分析（RQA）对转录本进行了分析。该研究获得了 UCLA 机构审查委员会的批准。所有实施伙伴均提供了口头知情同意。
2021 年，26 名实施伙伴（8 名 UC DPP 领导者和 18 名校园负责人）完成了访谈。确定了 7 个对实施至关重要的主题，包括：（1）营销和招募（即通过已建立的渠道广泛营销和招募，以及针对高危人群）；（2）注册（即提供在方便的时间进行的计划，并让参与者了解预期情况）；（3）使用适应性强、基于证据的计划；（4）为该计划、参与者、生活方式教练和空间筹集资金；（5）雇用经验丰富且敬业的员工和生活方式教练；（6）确保领导层的支持；以及（7）利用校园联系和资源。还描述了对这些主题所面临的挑战的看法。
这是第一项研究之一，研究了在 10 个大学站点上开展强化生活方式改变计划所面临的挑战和机遇。了解增强大学糖尿病预防计划成功的因素可以促进 UC DPP 的努力，并有助于更广泛地为其他大学环境中的健康和保健计划提供交付策略。
