Abstract: Objective: The purpose of this study was to identify patient preferences for different components of a local diabetes prevention program that would improve reach. A secondary purpose was to determine if patient characteristics were related to program preferences. Methods: Participants were identified through electronic medical records from two family medicine clinics in Virginia. Participants completed a mailed survey addressing demographics, economic status, risk factors for diabetes, and preferences regarding diabetes prevention interventions—delivery mode, program length, and duration. Results: Twenty-nine percent of eligible participants responded (n = 142); 83% of participants were at risk for diabetes and 82% had a household income <$20,000. When presented with the choice between a class-based vs. a technology-based program, 83% preferred a technology-based program. Whites were less likely to choose the technology-based program, with no significant differences based on age, education, income, or gender. Conclusions: Contrary to beliefs that lower income individuals may not use technology-based interventions, lower socioeconomic patients indicated a preference for a technology- and telephone-supported diabetes prevention program over in-person class approaches. Findings provide formative data to support the design of a patient-centered, technology-enhanced diabetes prevention program in a real-world setting, thereby increasing potential participation and reach.
Keywords: diabetes prevention program; technology-enhanced intervention; low income populations; patient preferences
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W.Seidel, R.; Pardo, K.A.; A.Estabrooks, P.; WenYou; Wall, S.S.; M.Davy, B.; A.Almeida, F. Beginning A Patient-Centered Approach in the Design of A Diabetes Prevention Program. Int. J. Environ. Res. Public Health 2014, 11, 2003-2013.
W.Seidel R, Pardo KA, A.Estabrooks P, WenYou, Wall SS, M.Davy B, A.Almeida F. Beginning A Patient-Centered Approach in the Design of A Diabetes Prevention Program. International Journal of Environmental Research and Public Health. 2014; 11(2):2003-2013.
W.Seidel, Richard; Pardo, Kimberlee A.; A.Estabrooks, Paul; WenYou; Wall, Sarah S.; M.Davy, Brenda; A.Almeida, Fabio. 2014. "Beginning A Patient-Centered Approach in the Design of A Diabetes Prevention Program." Int. J. Environ. Res. Public Health 11, no. 2: 2003-2013.