Implementation of diabetes prevention programs in rural areas: Montana and south-eastern Australia compared

Reddy, P; Hernan, AL; Vanderwood, KK; Arave, D; Niebylski, ML; Harwell, TS; Dunbar, JA

Implementation of diabetes prevention programs in rural areas: Montana and south-eastern Australia compared

Reddy, P

Hernan, AL Vanderwood, KK Arave, D Niebylski, ML Harwell, TS Dunbar, JA

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Publication Type:: Journal Article
Citation:: Australian Journal of Rural Health, 2011, 19 (3), pp. 125 - 134
Issue Date:: 2011-06-01

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Field	Value	Language
dc.contributor.author	Reddy, P https://orcid.org/0000-0002-0709-9352	en_US
dc.contributor.author	Hernan, AL	en_US
dc.contributor.author	Vanderwood, KK	en_US
dc.contributor.author	Arave, D	en_US
dc.contributor.author	Niebylski, ML	en_US
dc.contributor.author	Harwell, TS	en_US
dc.contributor.author	Dunbar, JA	en_US
dc.date.issued	2011-06-01	en_US
dc.identifier.citation	Australian Journal of Rural Health, 2011, 19 (3), pp. 125 - 134	en_US
dc.identifier.issn	1038-5282	en_US
dc.identifier.uri	http://hdl.handle.net/10453/116596
dc.description.abstract	Objective: To identify the key elements that enabled the Greater Green Triangle Diabetes Prevention Project (GGT DPP) and the Montana Cardiovascular Disease and Diabetes Prevention (CDDP) programs successful establishment and implementation in rural areas, as well as identifying specific challenges or barriers for implementation in rural communities. Methods: Focus groups were held with the facilitators who delivered the GGT DPP in Australia and the Montana CDDP programs in the USA. Interview questions covered the facilitators' experiences with recruitment, establishing the program, the components and influence of rurality on the program, barriers and challenges to delivering the program, attributes of successful participants, and the influence of community resources and partnerships on the programs. Results: Four main themes emerged from the focus groups: establishing and implementing the diabetes prevention program in the community; strategies for recruitment and retention of participants; what works in lifestyle intervention programs; and rural-centred issues. Conclusions: The results from this study have assisted in determining the factors that contribute to developing, establishing and implementing successful diabetes prevention programs in two rural areas. Recommendations to increase the likelihood of success of programs in rural communities include: securing funding early for the program; establishing support from community leaders and developing positive relationships with health care providers; creating a professional team with passion for the program; encouraging participants to celebrate their small and big successes; and developing procedures for providing post-intervention support to help participants maintain their success. © 2011 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.	en_US
dc.relation.ispartof	Australian Journal of Rural Health	en_US
dc.relation.isbasedon	10.1111/j.1440-1584.2011.01197.x	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Diabetes Mellitus, Type 2	en_US
dc.subject.mesh	Focus Groups	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Rural Population	en_US
dc.subject.mesh	Rural Health Services	en_US
dc.subject.mesh	Health Plan Implementation	en_US
dc.subject.mesh	Program Development	en_US
dc.subject.mesh	Primary Health Care	en_US
dc.subject.mesh	Montana	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Community Participation	en_US
dc.title	Implementation of diabetes prevention programs in rural areas: Montana and south-eastern Australia compared	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	19	en_US
utslib.for	111716 Preventive Medicine	en_US
utslib.for	160804 Rural Sociology	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	16 Studies in Human Society	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Management Discipline
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	19	en_US

Abstract:

Objective: To identify the key elements that enabled the Greater Green Triangle Diabetes Prevention Project (GGT DPP) and the Montana Cardiovascular Disease and Diabetes Prevention (CDDP) programs successful establishment and implementation in rural areas, as well as identifying specific challenges or barriers for implementation in rural communities. Methods: Focus groups were held with the facilitators who delivered the GGT DPP in Australia and the Montana CDDP programs in the USA. Interview questions covered the facilitators' experiences with recruitment, establishing the program, the components and influence of rurality on the program, barriers and challenges to delivering the program, attributes of successful participants, and the influence of community resources and partnerships on the programs. Results: Four main themes emerged from the focus groups: establishing and implementing the diabetes prevention program in the community; strategies for recruitment and retention of participants; what works in lifestyle intervention programs; and rural-centred issues. Conclusions: The results from this study have assisted in determining the factors that contribute to developing, establishing and implementing successful diabetes prevention programs in two rural areas. Recommendations to increase the likelihood of success of programs in rural communities include: securing funding early for the program; establishing support from community leaders and developing positive relationships with health care providers; creating a professional team with passion for the program; encouraging participants to celebrate their small and big successes; and developing procedures for providing post-intervention support to help participants maintain their success. © 2011 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

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http://hdl.handle.net/10453/116596