Translating efficacious behavioral principles for diabetes prevention into practice.
This case study describes the process of translating efficacy-based Diabetes Prevention Program principles into a practical format for delivery within a managed care organization. Using Rogers' innovation-decision process model, the authors tracked the adoption, implementation, and short-term effectiveness of a clinical program. Effectiveness was documented using a pre-post design to detect changes in physical activity and dietary habits. Participants (N = 298) were Kaiser Permanente of Colorado patients enrolled in diabetes-prevention classes. Changes were analyzed using paired-samples t tests and one-way analysis of variance. Participants significantly increased reported minutes of moderate (p < .001, mu = 84.52, CI: 58.44-110.61) and vigorous (t = 2.220, p = .028, mu = 19.05, CI: 2.10-36.00) physical activity and their daily servings of fruits and vegetables (p < .001, mu = 0.20, CI: 0.13-0.27). By identifying the underlying strategies that led to efficacy, professionals can implement sound diabetes-prevention programs that fit within their context.
Smith-Ray
Renae L
RL
University of Edinburgh, Edinburgh, UK.
Almeida
Fabio A
FA
Bajaj
Jennifer
J
Foland
Sally
S
Gilson
Michele
M
Heikkinen
Susan
S
Seagle
Helen
H
Estabrooks
Paul A
PA
D003120:Colorado; D003479:Curriculum; D003657:Decision Making; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D004059:Diffusion of Innovation; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D008875:Middle Aged; D009042:Motivation; D010353:Patient Education as Topic; D016730:Program Development; D015397:Program Evaluation; D011795:Surveys and Questionnaires