Attendance Barriers and Facilitators to the University of Arizona Cooperative Extension-led National Diabetes Prevention Program
Advisorda Silva, Vanessa
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PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
EmbargoRelease after 05/13/2020
AbstractThe National Diabetes Program (NDPP) is a group, lifestyle-change intervention offered over 12 months, which has been shown to prevent or delay the onset of Type 2 Diabetes by 58%. The program promotes healthy eating, physical activity, and modest weight loss. In the NDPP, for every session attended and every 20 minutes of physical activity completed, participants lost 0.3% of their initial body weight. However, a major challenge to program success is attendance given its 12-month duration, with less than 50% of participants making it to the half-way point in the NDPP. Non-attendance and reduced retention rates have been associated with poorer health outcomes in the NDPP, underscoring the importance of maximizing attendance and retention in this long-duration program. This study examined barriers and facilitators to participant attendance in the first 6 months of the University of Arizona Cooperative Extension-led NDPP. Data from qualitative semi-structured interviews with NDPP participants (n=28) and educators shows that the emerging themes influencing program attendance include 1) program implementation; 2) participant-specific factors; 3) external environment; and 4) coach-specific factors. Common barriers and facilitators were interest, program curriculum, flexibility, and clarity; commitments, Cooperative Extension network, motivators, timing, support system, readiness, and cost. The Cooperative Extension infrastructure is well positioned to address the barriers to program attendance in the UA CE-NDPP. While there are some areas it has limited control, such as interest, motivators, and readiness of participants; the Cooperative Extension system has the capacity to address several of the engagement issues reported in this study.
Degree ProgramGraduate College