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Women veterans' experience with a web-based diabetes prevention program: a qualitative study to inform future
Tannaz Moin1, Kristyn Ertl, Jessica Schneider
1VA Health Services Research and Development (HSR&D) Center for Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles, VA Greater Los Angeles Healthcare System, Los Angeles, CA, David Geffen School of Medicine, University of California, Los Angeles, CA, Los Angeles, CA, United States. TMoin@mednet.ucla.edu.
Journal of Medical Internet Research
|May 27, 2015
Summary
Women veterans found a Web-based diabetes prevention program (DPP) appealing due to convenience and accountability. This online DPP shows promise for helping women veterans manage prediabetes and initiate lifestyle changes.
Area of Science:
- Public Health
- Digital Health Interventions
- Chronic Disease Management
Background:
- Diabetes prevention is a national priority, with high prevalence (25%) in the Veterans Health Administration (VHA).
- Web-based diabetes prevention programs (DPPs) offer a feasible and effective alternative to in-person interventions.
Purpose of the Study:
- To qualitatively explore women veterans' initial experiences with a Web-based DPP.
- To quantitatively assess weight loss, participation, and engagement within this population.
Main Methods:
- Semistructured interviews were conducted with 15 women veterans with prediabetes.
- Data on weight change, program participation, and engagement metrics were collected over 16 weeks.
Main Results:
- Participants viewed the Web-based DPP as an appealing method for lifestyle change, valuing accountability and convenience.
- Average weight loss was 5.24%; 82% completed at least 9 modules.
- High engagement observed: mean 76 logins, 46 group messages, 20.5 private messages.
Conclusions:
- Women veterans reported generally positive experiences with the Web-based DPP.
- Accountability and convenience were identified as key factors driving participation and engagement.
- Web-based DPPs represent a promising approach for delivering diabetes prevention to women veterans.
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