Joiner Kevin L, Adams Mackenzie, Minehan Edith Beltrán, O'Brien Matthew J
School of Nursing, University of Michigan, 400 N Ingalls St, Ann Arbor, MI, 48109, United States, 1 734-647-0127.
School of Public Health, University of Michigan, Ann Arbor, MI, United States.
JMIR Form Res. 2025 Feb 11;9:e66964. doi: 10.2196/66964.
Prediabetes conveys an increased risk for subsequently developing type 2 diabetes (T2D). The National Diabetes Prevention Program (DPP) is a widely available intensive behavioral intervention that decreases the risk of developing T2D in adults with prediabetes. Data are needed to inform approaches to increase prediabetes awareness and National DPP participation. Few studies have explored perceptions and experiences of prediabetes diagnosis and National DPP participation, and none have focused on Hispanic adults and participation in the National DPP as implemented by a community-based organization.
This study aims to explore perceptions and experiences of developing prediabetes awareness and participating in the National DPP among Hispanic US adults.
The sample was recruited from participants in the National DPP as implemented in Spanish by a community-based organization in the upper Midwest. Semistructured interviews were conducted by telephone in April and May 2021. A qualitative descriptive approach was used. Data from the interviews were reviewed, coded, and integrated into themes to reflect the narratives elicited in the interviews.
A total of 16 interviews were conducted. The mean age of the participants was 46 (SD 6, range 34-55) years. Most (n=15) identified as female. The majority (n=15) reported having been born in Mexico. More than two-thirds (n=11) had a level of educational attainment of high school completion or less. Nearly half (n=7) reported not having health insurance. Qualitative description resulted in the emergence of four main themes: (1) processing the news of having prediabetes, (2) deciding on treatment for T2D primary prevention, (3) valuing language and cultural congruence in the National DPP, and (4) appreciating action-oriented knowledge gained during National DPP participation. Participants described the emotional impact of becoming aware of having prediabetes. National DPP lifestyle coaches' outreach and recruitment efforts on a local radio program and a Facebook Live (Meta Platforms) broadcast helped raise awareness of prediabetes and influence attitudes toward participation in the National DPP. Values and cultural beliefs appeared to contribute to perceptions and experiences of participating in the National DPP. Participants were inclined to share information about the National DPP with others in their community.
This study presents some of the first evidence exploring perceptions and experiences of developing prediabetes awareness and participating in the National DPP among Hispanic US adults. The findings can inform approaches to increase prediabetes awareness and National DPP participation among Hispanic US adults.
糖尿病前期会增加随后发展为2型糖尿病（T2D）的风险。国家糖尿病预防计划（DPP）是一种广泛可用的强化行为干预措施，可降低糖尿病前期成年人患T2D的风险。需要数据来为提高糖尿病前期意识和国家DPP参与度的方法提供信息。很少有研究探讨糖尿病前期诊断和国家DPP参与的认知和经历，而且没有一项研究关注西班牙裔成年人以及社区组织实施的国家DPP参与情况。
本研究旨在探讨美国西班牙裔成年人对提高糖尿病前期意识和参与国家DPP的认知和经历。
样本从美国中西部上游地区一个社区组织以西班牙语实施的国家DPP参与者中招募。2021年4月和5月通过电话进行了半结构化访谈。采用定性描述方法。对访谈数据进行审查、编码，并整合为主题，以反映访谈中引发的叙述。
共进行了16次访谈。参与者的平均年龄为46岁（标准差6，范围34 - 55岁）。大多数（n = 15）为女性。大多数（n = 15）报告出生在墨西哥。超过三分之二（n = 11）的教育程度为高中及以下。近一半（n = 7）报告没有医疗保险。定性描述产生了四个主要主题：（1）处理患有糖尿病前期的消息，（2）决定T2D一级预防的治疗方法，（3）重视国家DPP中的语言和文化一致性，（4）感激在参与国家DPP期间获得的以行动为导向的知识。参与者描述了意识到患有糖尿病前期的情绪影响。国家DPP生活方式教练在当地广播节目和Facebook Live（Meta平台）直播中的外展和招募工作有助于提高对糖尿病前期的认识，并影响对参与国家DPP的态度。价值观和文化信仰似乎影响了参与国家DPP的认知和经历。参与者倾向于与社区中的其他人分享有关国家DPP的信息。
本研究提供了一些首批证据，探讨了美国西班牙裔成年人对提高糖尿病前期意识和参与国家DPP的认知和经历。这些发现可为提高美国西班牙裔成年人的糖尿病前期意识和国家DPP参与度提供方法参考。
