Process Evaluation of the Early Implementation Stages of the National Diabetes Prevention Program through Kentucky Cooperative Extension: Perceptions?of?Adopters and?Potential?Adopters?

摘要

With the growing demand for lifestyle change programs that prevent or delay?Type 2 diabetes?onset,?community organizations with broad reach should be explored for?national?dissemination of the National Diabetes Prevention Program (NDPP).?This study evaluates the early implementation?of the NDPP through Cooperative Extension in four?Kentucky?counties?and?explores the feasibility?of scaling?up the program to additional counties.?Using a qualitative approach, semi-structured telephone interviews were conducted with?12 Family and Consumer Sciences (FCS) Agents – four who were participating in the pilot?(adopters)?and eight who?had no experience with the NDPP?(potential adopters). Five overarching themes emerged: satisfaction with and desire for the NDPP;?implementation?barriers (recruitment challenges and Agent comfortability issues); needed supports;?roles?of?community partners?(potential duplication of efforts);?and dynamics of community relationships?and trust.?While there was?agreement that Cooperative Extension was an appropriate platform for dissemination,?notable barriers must be overcome.?This study provides important information for Cooperative Extension Services across the country that are implementing or?considering?implementing the NDPP; specifically, that this program may need a more tailored and controlled rollout compared to traditional Extension programming.