Promises and Pitfalls of Dyads in the National Diabetes Prevention Program: Lifestyle Coach Perspectives

Purpose To describe Lifestyle Coach perceptions of dyads (i.e., family members and/or friends) in the National Diabetes Prevention Program (NDPP). Design Qualitative evaluation of cross-sectional survey responses. Setting Online. Participants Lifestyle Coaches (n=253) with experience teaching at lea...

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Bibliographic Details
Published in:American journal of health promotion 2022-09, Vol.36 (7), p.1204-1207
Main Authors: Baucom, Katherine J.W., Bauman, Tali, Nemirovsky, Yanina, Gutierrez Chavez, Manuel, Aguirre, Monique C., Ramos, Carmen, Asnaani, Anu, Gutner, Cassidy A., Ritchie, Natalie D., Shah, Megha, Clark, Lauren
Format: Article
Language:English
Subjects:
Cohort Studies
Cross-Sectional Studies
Diabetes
Diabetes Mellitus, Type 2 - prevention & control
Friendship
Health promotion
Humans
Life Style
Lifestyles
Polls & surveys
Prevention programs
Relatives
Risk factors
Surveys and Questionnaires
Teaching
Type 2 diabetes mellitus
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Summary:Purpose To describe Lifestyle Coach perceptions of dyads (i.e., family members and/or friends) in the National Diabetes Prevention Program (NDPP). Design Qualitative evaluation of cross-sectional survey responses. Setting Online. Participants Lifestyle Coaches (n=253) with experience teaching at least one in-person year-long NDPP cohort at a CDC-recognized organization. Measures Survey included items on background and experience with dyadic approach, as well as open-ended items on the benefits and challenges observed when working with dyads in the NDPP. Analysis Lifestyle Coach background and experience were analyzed descriptively in SPSS. Open-ended responses were content coded in ATLAS.ti using qualitative description, and then grouped into categories. Results Most Lifestyle Coaches (n=210; 83.0%) reported experience delivering the NDPP to dyads. Benefits of a dyadic approach included having a partner in lifestyle change, superior outcomes and increased engagement, and positive “ripple effects.” Challenges included difficult relationship dynamics, differences between dyad members, negative “ripple effects,” and logistics. Conclusion Lifestyle Coaches described a number of benefits, as well as some challenges, with a dyadic approach to the NDPP. Given the concordance between close others in lifestyle and other risk factors for type 2 diabetes, utilizing a dyadic approach in the NDPP has the potential to increase engagement, improve outcomes, and extend the reach of the program.
ISSN:0890-1171
2168-6602
DOI:10.1177/08901171221088580