title: Beginning a patient-centered approach in the design of a diabetes prevention program.
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.
authors.affiliation: Department of Psychiatry, Virginia Tech Carilion School of Medicine, 2017 South Jefferson Street, Roanoke, VA 24014, USA. rwseidel@carilionclinic.org.
authors.forename: Richard
authors.initials: R
authors.lastname: W Seidel
authors.affiliation: Fralin Translational Obesity Research Center, Department of Human Nutrition, Foods and Exercise, Virginia Tech, 215 War Memorial Hall, Blacksburg, VA 24061, USA. skim13@vt.edu.
authors.forename: Kimberlee A
authors.initials: KA
authors.lastname: Pardo
authors.affiliation: Fralin Translational Obesity Research Center, Department of Human Nutrition, Foods and Exercise, Virginia Tech, 215 War Memorial Hall, Blacksburg, VA 24061, USA. paestabrooks@carilionclinic.org.
authors.forename: Paul
authors.initials: P
authors.lastname: A Estabrooks
authors.affiliation: Fralin Translational Obesity Research Center, Department of Human Nutrition, Foods and Exercise, Virginia Tech, 215 War Memorial Hall, Blacksburg, VA 24061, USA. wenyou@vt.edu.
authors.forename: Emptyyn Y
authors.initials: EY
authors.lastname: WenYou
authors.affiliation: Fralin Translational Obesity Research Center, Department of Human Nutrition, Foods and Exercise, Virginia Tech, 215 War Memorial Hall, Blacksburg, VA 24061, USA. sarahsw@vt.edu.
authors.forename: Sarah S
authors.initials: SS
authors.lastname: Wall
authors.affiliation: Fralin Translational Obesity Research Center, Department of Human Nutrition, Foods and Exercise, Virginia Tech, 215 War Memorial Hall, Blacksburg, VA 24061, USA. bdavy@vt.edu.
authors.forename: Brenda
authors.initials: B
authors.lastname: M Davy
authors.affiliation: Fralin Translational Obesity Research Center, Department of Human Nutrition, Foods and Exercise, Virginia Tech, 215 War Memorial Hall, Blacksburg, VA 24061, USA. falmeida@vt.edu.
authors.forename: Fabio
authors.initials: F
authors.lastname: A Almeida
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D057240:Patient Preference / Q000706:statistics & numerical data*; D018802:Patient-Centered Care