Reach, acceptability, and perceived success of a telehealth diabetes prevention program among racially and ethnically diverse patients with gestational diabetes: the GEM cluster-randomized trial
| العنوان: | Reach, acceptability, and perceived success of a telehealth diabetes prevention program among racially and ethnically diverse patients with gestational diabetes: the GEM cluster-randomized trial |
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| المؤلفون: | Susan D Brown, Monique M Hedderson, Nancy Gordon, Cheryl L Albright, Ai-Lin Tsai, Charles P Quesenberry, Assiamira Ferrara |
| المصدر: | Translational Behavioral Medicine. 12:793-799 |
| بيانات النشر: | Oxford University Press (OUP), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Diabetes, Gestational, Behavioral Neuroscience, Diabetes Mellitus, Type 2, Pregnancy, Ethnicity, Humans, Female, Minority Groups, Telemedicine, United States, Applied Psychology |
| الوصف: | Patients with gestational diabetes mellitus and from racial/ethnic minority groups face disproportionate risk for type 2 diabetes. Lifestyle interventions, if accessible and acceptable to diverse patients, could advance diabetes prevention and mitigate racial/ethnic disparities. Here we describe overall and race/ethnicity-specific reach, acceptability, and perceived success from an effective telehealth diabetes prevention lifestyle program for patients with gestational diabetes mellitus, implemented in the Gestational Diabetes Effects on Moms (GEM) cluster-randomized controlled trial. GEM tested a program of 13 telephone sessions and behavior change techniques (BCTs, e.g., goal setting) in a healthcare system. We evaluated participation (completing ≥1 session), acceptability of BCTs, and perceived success reaching program goals. Among 1,087 patients (75.2% from minority groups), 50.3% participated. Participation rates were 61.7% among Black, 56.4% among Hispanic, 55.6% among multiracial/other, 53.0% among White, and 43.7% among Asian/Pacific Islander patients. Evaluation survey respondents (n = 433/547; 79.2%) largely rated BCTs as very helpful (range 40.9%–58.4%) or moderately helpful (27.3%–34.9%). Respondents from minority groups largely rated goal setting for weight management as very or moderately helpful, with fewer minority respondents rating it as only a little/not at all helpful than White respondents (p = .02). Black and White respondents reported more limited success reaching a healthy weight than Asian/Pacific Islander, Hispanic, and multiracial/other women (p = .005). A telehealth diabetes prevention lifestyle program demonstrated reach and acceptability across racial/ethnic groups. While perceived success can be improved among Black and White participants, such programs could promote access to preventive care and help mitigate disparities in diabetes risk. |
| تدمد: | 1613-9860 1869-6716 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::906ea5572577028b06bb7c2f9e7ada38 https://doi.org/10.1093/tbm/ibac019 |
| حقوق: | EMBARGO |
| رقم الأكسشن: | edsair.doi.dedup.....906ea5572577028b06bb7c2f9e7ada38 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16139860 18696716 |
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