Assessing the Fit of a Digitally Delivered National Diabetes Prevention Program Among Rural Living Adults:...

Area of Science:

• Public Health
• Digital Health Interventions
• Diabetes Prevention

Background:

• Rural adults face higher type 2 diabetes rates.
• The National Diabetes Prevention Program (National DPP) is effective but has limited reach in rural areas.
• Digital delivery may overcome rural access barriers.

Purpose of the Study:

• To assess the fit of digitally delivered National DPP (via Zoom or Facebook) for rural adults at risk for type 2 diabetes.
• To understand participant characteristics, infrastructure needs, and external factors influencing program fit.

Main Methods:

• Qualitative study using focus groups with 14 participants after 6 months of digital National DPP.
• Reflexive thematic analysis of transcripts, linked to the Practical, Robust Implementation and Sustainability Model.
• Assessment of participant perceptions, infrastructure, and external influences.

Main Results:

• Positive fit influenced by participant motivators (health improvements, weight loss, reduced medication) and perceived compatibility.
• Digital platforms (Zoom, Facebook) improved access, but internet connectivity was a barrier.
• Zoom offered better social engagement and accountability than Facebook.
• Referral pathways from healthcare providers could enhance reach.

Conclusions:

• Digital National DPP can be adapted for rural adults by utilizing existing social connections and health motivations.
• Tailoring curriculum, modality, and technology is crucial for program appropriateness in rural settings.
• Addressing internet connectivity and optimizing platform choice are key for successful implementation.