Development of a Web-Based Diabetes Prevention Program (DPP) for Chinese Americans: A Formative Evaluation Approach

Ming-Chin Yeh (), Wincy Lau, Zoey Gong, Margrethe Horlyck-Romanovsky, Ho-Jui Tung, Lin Zhu, Grace X. Ma and Judith Wylie-Rosett
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Ming-Chin Yeh: Nutrition Program, School of Urban Public Health, Hunter College, City University of New York, New York, NY 10065, USA
Wincy Lau: Nutrition Program, School of Urban Public Health, Hunter College, City University of New York, New York, NY 10065, USA
Zoey Gong: Nutrition Program, School of Urban Public Health, Hunter College, City University of New York, New York, NY 10065, USA
Margrethe Horlyck-Romanovsky: Department of Health and Nutrition Sciences, Brooklyn College, City University of New York, New York, NY 11210, USA
Ho-Jui Tung: Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA 30458, USA
Lin Zhu: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Grace X. Ma: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Judith Wylie-Rosett: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA

IJERPH, 2022, vol. 20, issue 1, 1-13

Abstract: 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.

Keywords: Chinese Americans; web-based diabetes prevention program; cultural and linguistic adaptation; focus groups; formative evaluation; qualitative study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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