This study sought to understand the barriers to and facilitators of diabetes self-management education and support (DSMES) referrals and participation from multiple perspectives in New York. Two common barriers emerged: lack of awareness of DSMES services and limited access to DSMES services. Strategies that could improve DSMES referrals and participation include provider education, outreach to eligible patients, and tailoring of DSMES services to meet participants' cultural needs and preferences.
View Article and Find Full Text PDFIntroduction: Weight loss and physical activity achieved through the Diabetes Prevention Program (DPP) have been shown to reduce type 2 diabetes risk among individuals with prediabetes. The New York State Young Men's Christian Association (YMCA) delivered the 16-week evidence-based model at 14 YMCAs. A mixed methods process and outcomes evaluation was conducted.
View Article and Find Full Text PDFPurpose: To explore parental beliefs and attitudes about confidential services for their teenagers; and to develop an instrument to assess these beliefs and attitudes that could be used among English and Spanish speakers. The long-term goal is to use this research to better understand and evaluate interventions to improve parental knowledge and attitudes toward their adolescent's access and utilization of comprehensive confidential health services.
Methods: The instrument was developed using an extensive literature review and theoretical framework followed by qualitative data from focus groups and in-depth interviews.
Objectives: A core construct targeted by behavioural interventions is the perception that one is at risk for acquiring a sexually transmitted disease (STD). The objective of this analysis was to examine the role of intimacy on perceptions of risk for an STD (PRSTD) and condom use within late adolescent females' main relationships.
Methods: A clinical sample of African-American women aged 14-19 years at enrolment were followed prospectively for 3 years.
Objective: To examine whether psychological distress predicts IVF treatment outcome as well as whether IVF treatment outcome predicts subsequent psychological distress.
Design: Prospective cohort study over an 18-month period.
Setting: Five community and academic fertility practices.