AI Article Synopsis
- The CDC's Diabetes Prevention Program (DPP) is an effective way to prevent type 2 diabetes (T2D), but it's not widely implemented in rural areas, prompting this study to explore church settings as potential venues.
- Interviews with church leaders and lifestyle coaches revealed that support from academic partners and alignment with community needs helped promote DPP, while barriers included transportation issues, childcare, and residents' reluctance to change their lifestyles.
- The study emphasizes the need for tailored strategies that build on facilitators and address barriers, such as resistance to change and logistical challenges, to improve DPP implementation in rural communities.
Article Abstract
Purpose: The CDC's Diabetes Prevention Program (DPP) is an effective lifestyle intervention to prevent type 2 diabetes (T2D). However, DPP implementation in rural areas is limited. This study sought to address this gap by implementing DPP in rural church settings through a community-academic partnership and identifying implementation facilitators and barriers.
Methods: This was a cross-sectional qualitative study. Semistructured interviews guided by the Consolidated Framework for Implementation Research (CFIR) assessed church leaders' and lifestyle coaches' perceptions of implementing DPP in rural churches. Thematic analysis was used to identify key themes through an inductive approach; then, these emergent themes were deductively linked to CFIR constructs. COREQ guidelines were used to report study findings.
Findings: Twenty-five stakeholders participated. Facilitators to implementing DPP included its evidence-based effectiveness in preventing T2D, as well as support from the academic partner in terms of funding, training, and communication. Additionally, DPP's alignment with community needs, along with the active engagement of pastors in participant recruitment, supported implementation. Several barriers hindered DPP implementation, including transportation and childcare issues, as well as program participants' medical conditions/disabilities limiting their participation. Furthermore, rural residents' reluctance to adopt lifestyle changes and loyalty to family churches posed challenges to their engagement in DPP.
Conclusions: This study identified contextual factors influencing DPP implementation in rural communities. Findings highlight the importance of tailored strategies that leverage facilitators while proactively addressing barriers, including rural residents' reluctance to attend programs outside their church, resistance to lifestyle changes, and transportation issues to ensure successful DPP implementation in rural areas.
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Article Synopsis
- The CDC's Diabetes Prevention Program (DPP) is an effective way to prevent type 2 diabetes (T2D), but it's not widely implemented in rural areas, prompting this study to explore church settings as potential venues.
- Interviews with church leaders and lifestyle coaches revealed that support from academic partners and alignment with community needs helped promote DPP, while barriers included transportation issues, childcare, and residents' reluctance to change their lifestyles.
- The study emphasizes the need for tailored strategies that build on facilitators and address barriers, such as resistance to change and logistical challenges, to improve DPP implementation in rural communities.
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