Mixed methods study of engagement in behaviors to prevent type 2 diabetes among employees with pre-diabetes

Many employers use screenings to identify and recommend modification of employees' risk factors for type 2 diabetes, yet little is known about how often employees then engage in recommended behaviors and what factors influence engagement. We examined the frequency of, facilitators of, and barri...

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Published in:BMJ open diabetes research & care 2016, Vol.4 (1), p.e000212-e000212
Main Authors: Kullgren, Jeffrey T, Knaus, Megan, Jenkins, Kristi Rahrig, Heisler, Michele
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Clinical Care/Education/Nutrition/Psychosocial Research
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description Many employers use screenings to identify and recommend modification of employees' risk factors for type 2 diabetes, yet little is known about how often employees then engage in recommended behaviors and what factors influence engagement. We examined the frequency of, facilitators of, and barriers to engagement in recommended behaviors among employees found to have pre-diabetes during a workplace screening. We surveyed 82 University of Michigan employees who were found to have pre-diabetes during a 2014 workplace screening and compared the characteristics of employees who 3 months later were and were not engaged in recommended behaviors. We interviewed 40 of these employees to identify the facilitators of and barriers to engagement in recommended behaviors. 3 months after screening, 54% of employees with pre-diabetes reported attempting to lose weight and getting recommended levels of physical activity, had asked their primary care provider about metformin for diabetes prevention, or had attended a Diabetes Prevention Program. These employees had higher median levels of motivation to prevent type 2 diabetes (9/10 vs 7/10, p
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subjects Clinical Care/Education/Nutrition/Psychosocial Research
title Mixed methods study of engagement in behaviors to prevent type 2 diabetes among employees with pre-diabetes
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