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Challenges to participating in a lifestyle intervention program: the Native American Diabetes Project.
J A Griffin1, S S Gilliland1, G Perez1
1The Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque (Mss Griffin, Gilliland, and Perez, and Drs Upson and Carter)
The Diabetes Educator
|January 5, 2001
Summary
Community health workers identified factors impacting participation in the Native American Diabetes Project (NADP) lifestyle education. Key barriers included community activity conflicts and beliefs about diabetes, crucial for improving program engagement.
Area of Science:
- Community Health
- Diabetes Education
- Indigenous Health Interventions
Background:
- Diabetes disproportionately affects American Indian communities.
- Lifestyle education programs are vital for diabetes management.
- Understanding participation barriers is key to program success.
Purpose of the Study:
- To identify factors influencing participation in Native American Diabetes Project (NADP) lifestyle education sessions.
- To gather insights from American Indian teachers (mentors) involved in the NADP.
Main Methods:
- Post-session exit interviews were conducted with 7 NADP mentors.
- Interviews explored perceptions, participation barriers, and attitudes toward diabetes.
- Transcribed data were analyzed to identify themes related to participation.
Main Results:
- Mentors reported participation was affected by conflicts with community activities.
- Beliefs and attitudes toward diabetes significantly impacted session attendance.
- Factors included program knowledge, recruitment strategies, and general attitudes.
Conclusions:
- Community member perspectives are essential for understanding participation barriers.
- Addressing identified conflicts and beliefs can enhance engagement in community-based health programs.
- Valuable insights from community members improve program relevance and effectiveness.
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