TY - JOUR
T1 - Development of a Web-Based Diabetes Prevention Program (DPP) for Chinese Americans
T2 - A Formative Evaluation Approach
AU - Yeh, Ming Chin
AU - Lau, Wincy
AU - Gong, Zoey
AU - Horlyck-Romanovsky, Margrethe
AU - Tung, Ho Jui
AU - Zhu, Lin
AU - Ma, Grace X.
AU - Wylie-Rosett, Judith
N1 - Publisher Copyright:
© 2022 by the authors.
PY - 2023/1
Y1 - 2023/1
N2 - Increasing evidence demonstrates that an online Diabetes Prevention Program (DPP) can delay the onset of type 2 diabetes. However, little has been done for Chinese Americans. This study, using Community-Based Participatory Research and Intervention Mapping approaches, describes a formative research process in the development of a culturally and linguistically tailored online DPP program among Chinese Americans with prediabetes living in New York City. Using a triangulation approach, data were collected to inform the development of an online DPP curriculum through (1) a literature review, (2) three focus groups (n = 24), and (3) a community advisory board meeting among 10 key informants knowledgeable in community needs, diabetes care, and lifestyle interventions. Participants indicated online DPPs would be very useful and easily accessible. However, key barriers including low computer skills/literacy and technology self-efficacy were identified. In addition, taking meal photos and tracking pedometer steps daily were found to be acceptable self-motoring tools for sustaining a healthy lifestyle. Furthermore, the integration of features such as text message reminders and the creation of social support groups into the online DPP curriculum was proposed to minimize attrition. This theory-based formative research to develop a culturally and linguistically appropriate web-based DPP curriculum was well-received by Chinese Americans and warrants testing in future intervention studies.
AB - Increasing evidence demonstrates that an online Diabetes Prevention Program (DPP) can delay the onset of type 2 diabetes. However, little has been done for Chinese Americans. This study, using Community-Based Participatory Research and Intervention Mapping approaches, describes a formative research process in the development of a culturally and linguistically tailored online DPP program among Chinese Americans with prediabetes living in New York City. Using a triangulation approach, data were collected to inform the development of an online DPP curriculum through (1) a literature review, (2) three focus groups (n = 24), and (3) a community advisory board meeting among 10 key informants knowledgeable in community needs, diabetes care, and lifestyle interventions. Participants indicated online DPPs would be very useful and easily accessible. However, key barriers including low computer skills/literacy and technology self-efficacy were identified. In addition, taking meal photos and tracking pedometer steps daily were found to be acceptable self-motoring tools for sustaining a healthy lifestyle. Furthermore, the integration of features such as text message reminders and the creation of social support groups into the online DPP curriculum was proposed to minimize attrition. This theory-based formative research to develop a culturally and linguistically appropriate web-based DPP curriculum was well-received by Chinese Americans and warrants testing in future intervention studies.
KW - Chinese Americans
KW - cultural and linguistic adaptation
KW - focus groups
KW - formative evaluation
KW - qualitative study
KW - web-based diabetes prevention program
KW - Life Style
KW - Humans
KW - Diabetes Mellitus, Type 2/prevention & control
KW - United States/ethnology
KW - Prediabetic State
KW - Internet
KW - Program Evaluation
KW - East Asian People
UR - http://www.scopus.com/inward/record.url?scp=85145979575&partnerID=8YFLogxK
UR - https://doi.org/10.3390/ijerph20010599
U2 - 10.3390/ijerph20010599
DO - 10.3390/ijerph20010599
M3 - Article
C2 - 36612919
SN - 1661-7827
VL - 20
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 1
M1 - 599
ER -
