Participant Evaluation of a Prediabetes Intervention Program Designed for Rural Adults
Publication: Canadian Journal of Dietetic Practice and Research
18 November 2019
Abstract
The type 2 diabetes epidemic is a global crisis threatening the health and economies of many nations. This study aimed to evaluate a prediabetes intervention program designed for rural adults in southwestern Ontario based on the feedback of participants. Rural adults with prediabetes were referred by physicians to an intervention program developed to assist with unique barriers rural adults face related to the built environment and socioeconomic status when adopting a healthy lifestyle. After 6 monthly education sessions offered by a dietitian and a nurse, participants completed a questionnaire to share their program experience. In addition, 6 focus groups consisting of 5–9 participants were conducted to assess program acceptability, feasibility, and practicality. Of 49 enrolled, 35 participants aged 60.8 ± 7.1 (mean ± SD) evaluated the program. Participants reported finding the program to be acceptable, feasible, and practical due to the interactive nature of the sessions, the group setting and the availability of health professionals. This prediabetes lifestyle intervention program was perceived as successfully addressing rural adults’ needs in terms of adopting a healthy lifestyle. Feedback received through program evaluation, which included a participant experience survey and focus groups has helped improve this program and may benefit other prediabetes education intervention programs.
Résumé
L’épidémie de diabète de type 2 est une crise mondiale qui menace la santé et l’économie de nombreuses nations. Cette étude visait à évaluer un programme d’intervention sur le prédiabète conçu pour les adultes vivant en milieu rural dans le sud-ouest de l’Ontario grâce à la rétroaction des participants. Des adultes vivant en milieu rural et atteints de prédiabète ont été aiguillés par un médecin vers un programme d’intervention conçu pour aider les adultes vivant en milieu rural à faire face aux obstacles uniques à l’adoption d’un mode de vie sain associés à l’environnement bâti et au statut socioéconomique. Après six séances d’éducation mensuelles offertes par une diététiste et une infirmière, les participants ont répondu à un questionnaire sur leur expérience du programme. De plus, six groupes de discussion comptant de cinq à neuf participants ont été formés pour évaluer l’acceptabilité, la faisabilité et l’aspect pratique du programme. Parmi les 49 personnes inscrites, 35 participants, âgés de 60,8 ± 7,1 ans (moyenne ± écart-type), ont évalué le programme. Selon les participants, le programme est acceptable, faisable et pratique en raison de la nature interactive des séances, du contexte de groupe et de la disponibilité des professionnels de la santé. Ce programme d’intervention sur les habitudes de vie pour les personnes atteintes de prédiabète a été perçu comme répondant aux besoins des adultes vivant en milieu rural à l’égard de l’adoption d’un mode de vie sain. La rétroaction reçue dans le cadre de l’évaluation du programme, qui comprenait un sondage sur l’expérience des participants et des groupes de discussion, a aidé à améliorer le programme, et d’autres programmes d’intervention et d’éducation sur le prédiabète pourraient en tirer profit.
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Financial support: Public Health Agency of Canada: Canadian Diabetes Strategy [grant number 6262-06-2010/0690496].
Conflicts of interest: The authors declare that they have no competing interests.
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Information & Authors
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Published In
Canadian Journal of Dietetic Practice and Research
Volume 81 • Number 2 • June 2020
Pages: 80 - 85
History
Version of record online: 18 November 2019
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© 2020.
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Jayson L.AzziBSc, MD(c), SaritaAzziRD, MSc, MathildeLavigne-RobichaudRD, MSc, AdrienneVermeerRD, TeresaBarresiRN, MHS, SeanBlaineMD, and IsabelleGirouxRD, PhD. 2020. Participant Evaluation of a Prediabetes Intervention Program Designed for Rural Adults. Canadian Journal of Dietetic Practice and Research.
81(2): 80-85. https://doi.org/10.3148/cjdpr-2019-033
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