Examining the implementation of diabetes prevention programs in the community
department or school: Health and Social Development, Faculty of (Okanagan)
department or school: Health and Exercise Sciences, School of (Okanagan)
data provider: DSpace
degree campus: UBCO
creator: Dineen, Tineke Ellen
issued: 2024-01-29T17:14:02Z
issued: 2024
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: Type two diabetes (T2D) is one of the fastest growing chronic conditions worldwide and has negative health consequences and high costs for healthcare systems. Prediabetes, which precedes T2D, offers an opportunity for early intervention to delay and/or prevent progression to T2D. Diet and exercise are the cornerstones of diabetes prevention and have a large research base demonstrating their efficacy at reducing T2D risk. To combat the rising prevalence of T2D worldwide, diabetes prevention programs need to be implemented in practice within real-world settings. Moving research to practice (real-world) is notoriously slow’. Successful real-world examples exist, but reporting on implementation variables is limited. Implementation science focuses on understanding how and why programs work in real-world settings. Understanding how and why programs work is important because real-world settings have substantially more variables influencing interventions compared to controlled trials. Thus, this dissertation used an implementation science lens to examine the translation of diabetes prevention programs to the real world. Chapters 2-4 examined implementation of the Small Steps for Big Changes (SSBC) diabetes prevention program. Specifically, Chapter 2-3 examined the implementation outcome, fidelity. Chapter 2 evaluated the effectiveness of the in-person Small Steps for Big Changes training for fitness facility staff using the 4-level Kirkpatrick training evaluation model. Chapter 3 examined the delivery of, and engagement with, an evidence-based diet and exercise diabetes prevention program when delivered by fitness facility staff within a community organization. Chapter 4 reported the implementation strategies used and identified implementation determinants through a qualitative examination of implementation process as SSBC was implemented into two local community sites. Finally, through an in-depth systematic search and review, Chapter 5 identified implementation strategies…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/87388
note: EXAMINING THE IMPLEMENTATION OF DIABETES PREVENTION PROGRAMS IN THE COMMUNITY by Tineke Ellen Dineen M.Sc., Wageningen University, 2015 B.Sc., University of Guelph, 2013 A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in THE COLLEGE OF GRADUATE STUDIES (Kinesiology) THE UNIVERSITY OF BRITISH COLUMBIA (Okanagan) January 2024 © Tineke Dineen, 2024 ii The following individuals certify that they have read, and recommend to the College of Graduate Studies for acceptance, a dissertation entitled: EXAMINING THE IMPLEMENTATION OF DIABETES PREVENTION PROGRAMS IN THE COMMUNITY submitted by Tineke Dineen in partial fulfillment of the requirements of the degree of Doctor of Philosophy. Dr. Mary E Jung, School of Health and Exercise Science Supervisor Dr. Corliss Bean, Brock University Co-Supervisor Dr. Kathleen Martin Ginis, School of Health and Exercise Science Supervisory Committee Member Dr. Tanya Forneris, School of Health and Exercise Science Supervisory Committee Member Dr. Elizabeth Keys, School of Nursing University Examiner Dr. Nicole Culos-Reed, University of Calgary, Faculty of Kinesiology External Examiner iii Abstract Type two diabetes (T2D) is one of the fastest growing chronic conditions worldwide and has negative health consequences and high costs for healthcare systems. Prediabetes, which precedes T2D, offers an opportunity for early intervention to delay and/or prevent progression to T2D. Diet and exercise are the cornerstones of diabetes prevention and have a large research base demonstrating their efficacy at reducing T2D risk. To combat the rising prevalence of T2D worldwide, diabetes prevention programs need to be implemented in practice within real-world settings. Moving research to practice (real-world) is notoriously slow’. Successful real-world examples exist, but reporting on implementation variables is limited. Implementation science focuses on understanding how and why programs work in real-…
has type: Thesis/Dissertation
date issued: 2024-05
is shown at: 10.14288/1.0439014
language: eng
degree discipline: Health and Exercise Sciences
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Jung, Mary E.
contributor: Bean, Corliss
type: Text
identifier URI: http://hdl.handle.net/2429/87388