Brynn L Meulenberg, Terry Kim, Jesus Emmanuel Diaz, Manuel Gutierrez Chavez, Anu Asnaani, Cassidy A Gutner, Natalie D Ritchie, Katherine J W Baucom
{"title":"生活方式教练对黑人和拉丁裔国家糖尿病预防项目参与者参与和生活方式改变的障碍和促进因素的看法。","authors":"Brynn L Meulenberg, Terry Kim, Jesus Emmanuel Diaz, Manuel Gutierrez Chavez, Anu Asnaani, Cassidy A Gutner, Natalie D Ritchie, Katherine J W Baucom","doi":"10.1080/19325037.2024.2421541","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Despite the disproportionate impact of type 2 diabetes on racial/ethnic marginalized groups, interventions have not effectively engaged and retained these populations. To effectively meet the needs of these groups, a better understanding of barriers and facilitators to lifestyle change and participation in interventions is needed.</p><p><strong>Purpose: </strong>The social determinants of health (SDOH) framework was utilized to examine barriers and facilitators in the National Diabetes Prevention Program (DPP) from the perspective of Lifestyle Coaches delivering the intervention to Black or Latinx participants.</p><p><strong>Method: </strong>Using an online survey, coaches reported on barriers observed among participants and strategies to facilitate engagement and retention in the National DPP. We qualitatively coded and summarized responses.</p><p><strong>Results: </strong>Black and Latinx participant-serving coaches shared five of the seven most endorsed barriers. Both groups of coaches shared the same four most endorsed facilitators.</p><p><strong>Discussion: </strong>Results illustrate the impact SDOH have on one's ability to participate in diabetes prevention and enact lifestyle change, suggesting that an adapted approach may help to reach Black and Latinx participants.</p><p><strong>Translation to health education practice: </strong>This project informs future National DPP implementation. Competencies in the following areas are addressed: Assessment of Needs and Capacity (I), Evaluation and Research (IV), and Advocacy (V).</p>","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"56 5","pages":"423-437"},"PeriodicalIF":0.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463402/pdf/","citationCount":"0","resultStr":"{\"title\":\"Lifestyle Coach Perceptions of Barriers and Facilitators to Participation and Lifestyle Change Among Black and Latinx National Diabetes Prevention Program Participants.\",\"authors\":\"Brynn L Meulenberg, Terry Kim, Jesus Emmanuel Diaz, Manuel Gutierrez Chavez, Anu Asnaani, Cassidy A Gutner, Natalie D Ritchie, Katherine J W Baucom\",\"doi\":\"10.1080/19325037.2024.2421541\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Despite the disproportionate impact of type 2 diabetes on racial/ethnic marginalized groups, interventions have not effectively engaged and retained these populations. To effectively meet the needs of these groups, a better understanding of barriers and facilitators to lifestyle change and participation in interventions is needed.</p><p><strong>Purpose: </strong>The social determinants of health (SDOH) framework was utilized to examine barriers and facilitators in the National Diabetes Prevention Program (DPP) from the perspective of Lifestyle Coaches delivering the intervention to Black or Latinx participants.</p><p><strong>Method: </strong>Using an online survey, coaches reported on barriers observed among participants and strategies to facilitate engagement and retention in the National DPP. We qualitatively coded and summarized responses.</p><p><strong>Results: </strong>Black and Latinx participant-serving coaches shared five of the seven most endorsed barriers. Both groups of coaches shared the same four most endorsed facilitators.</p><p><strong>Discussion: </strong>Results illustrate the impact SDOH have on one's ability to participate in diabetes prevention and enact lifestyle change, suggesting that an adapted approach may help to reach Black and Latinx participants.</p><p><strong>Translation to health education practice: </strong>This project informs future National DPP implementation. 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Lifestyle Coach Perceptions of Barriers and Facilitators to Participation and Lifestyle Change Among Black and Latinx National Diabetes Prevention Program Participants.
Background: Despite the disproportionate impact of type 2 diabetes on racial/ethnic marginalized groups, interventions have not effectively engaged and retained these populations. To effectively meet the needs of these groups, a better understanding of barriers and facilitators to lifestyle change and participation in interventions is needed.
Purpose: The social determinants of health (SDOH) framework was utilized to examine barriers and facilitators in the National Diabetes Prevention Program (DPP) from the perspective of Lifestyle Coaches delivering the intervention to Black or Latinx participants.
Method: Using an online survey, coaches reported on barriers observed among participants and strategies to facilitate engagement and retention in the National DPP. We qualitatively coded and summarized responses.
Results: Black and Latinx participant-serving coaches shared five of the seven most endorsed barriers. Both groups of coaches shared the same four most endorsed facilitators.
Discussion: Results illustrate the impact SDOH have on one's ability to participate in diabetes prevention and enact lifestyle change, suggesting that an adapted approach may help to reach Black and Latinx participants.
Translation to health education practice: This project informs future National DPP implementation. Competencies in the following areas are addressed: Assessment of Needs and Capacity (I), Evaluation and Research (IV), and Advocacy (V).
期刊介绍：
AJHE is sponsored by the American Association for Health Education of the American Alliance for Health, Physical Education, Recreation and Dance. The mission of the American Association for Health Education(AAHE) is to advance the profession by serving health educators and others who strive to promote the health of all people through education and other systematic strategies.AAHE addresses the following priorities •Develop and promulgate standards, resources and services regarding health education to professionals and non-professionals •Foster the development of national research priorities in health education and promotion. Provide mechanisms for the translation and interaction between theory, research and practice.
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