Women Veterans’ Experience With a Web-Based Diabetes Prevention Program: A Qualitative Study to Inform Future Practice
Open accessAbstract
BACKGROUND: Diabetes prevention is a national goal and particularly important in the Veterans Health Administration (VHA) where 1 in 4 veterans has diabetes. There is growing evidence to support the use of Web-based diabetes prevention program (DPP) interventions, shown to be as effective and often more feasible than in-person interventions. OBJECTIVE: Our primary objective was to qualitatively explore women veterans' early experiences with a Web-based DPP intervention. Our secondary objective was to estimate weight loss, participation, and engagement to provide context for our qualitative findings. METHODS: We conducted and analyzed semistructured interviews and collected data on weight change, participation, and engagement. A total of 17 women veterans with prediabetes from a Midwest VA Women's Health Clinic were eligible to participate; 15 completed interviews. RESULTS: Participants perceived the DPP program as an appealing way of initiating lifestyle changes and made them feel accountable in achieving their daily goals. The online program was convenient because it could be accessed at any time, and many found that it integrated well into daily life. However, some did not like the logging aspect and some found it to be too impersonal. Participants logged in a mean 76 times, posted a mean 46 group messages, and sent a mean 20.5 private messages to the health coach over 16 weeks. Participants lost 5.24% of baseline weight, and 82% (14/17) of participants completed at least 9 of 16 core modules. CONCLUSIONS: Women veterans' early experiences with a Web-based DPP intervention were generally positive. Accountability and convenience were key enabling factors for participation and engagement. A Web-based DPP intervention appears to be a promising means of translating the DPP for women veterans with prediabetes.
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A digital, remotely-delivered IBC program that is an enhanced version of the original NDPP demonstrated clinical efficacy.
“A digital, remotely-delivered IBC program that is an enhanced version of the original NDPP demonstrated clinical efficacy [13–16].”
From Clinical and Economic Impact of a Digital, Remotely-Delivered Intensive Behavioral Counseling Program on Medicare Beneficiaries at Risk for Diabetes and Cardiovascular Disease (2016) · cites this paper as [16]
The Methods describe Prevent as a remotely delivered, Web-based intervention based on the Diabetes Prevention Program, and the Abstract Results report 5.24% mean weight loss among 17 women veterans. However, the Discussion’s Limitations say the weight-loss estimate needs confirmation in a larger study. This exploratory qualitative study does not establish the unqualified clinical efficacy claimed, nor does it describe Prevent as an enhanced version of the original NDPP. (LLM, conf=0.85)
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- Authors
- Moin, T., Ertl, K., Schneider, J., Vasti, E., Makki, F., Richardson, C., Havens, K., & Damschroder, L.
- Affiliations
- University of California, Los Angeles (US)
- Medical College of Wisconsin (US)
- VA Greater Los Angeles Healthcare System (US)
- VA Center for Clinical Management Research (US)
- University of Michigan (US)
- Corresponding author
- Moin, Tannaz
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2015-05-25
- Volume
- 17
- Issue
- 5
- Pages
- e127
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC4468391
- OpenAlex
- W1550636717
- Cited by
- 53
- References
- 42
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 12 · 2016: 4
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Health Services Research and Development
- Quality Enhancement Research Initiative
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092926)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- women veterans, Diabetes Prevention Program, online intervention, prediabetes, weight loss, participant engagement, Veterans Health Administration, user experience
- MeSH terms
- Adult, Attitude to Computers, Diabetes Mellitus, Female, Humans, United States, Veterans, Telemedicine, Disease Management, Internet, Qualitative Research
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