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Int. J. Environ. Res. Public Health 2014, 11(2), 2003-2013; doi:10.3390/ijerph110202003
Article

Beginning A Patient-Centered Approach in the Design of A Diabetes Prevention Program

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Received: 18 December 2013; in revised form: 24 January 2014 / Accepted: 24 January 2014 / Published: 14 February 2014
(This article belongs to the Special Issue Diabetes Prevention: Challenges and Opportunities)
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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 diabetes prevention program; technology-enhanced intervention; low income populations; patient preferences
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

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.

AMA Style

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.

Chicago/Turabian Style

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.



Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert