Engaging People in Medically Underserved Areas in the Community-Based Healthy Eating and Active Living to Reverse Diabetes (HEAL Diabetes) Program.
Background/Objectives: Recruiting and retaining low-income participants in community-based diabetes interventions remains a persistent challenge, particularly in medically underserved areas. This study describes engagement strategies and lessons learned recruiting for a 12-month pilot of a community...
| Publicado en: | Diabetology Vol. 6; no. 7; pp. 59 - 75 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186982232&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186982232 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26734540 N1A2 jtl: Diabetology issn: 26734540 maglogo: N pubinfo: dt: Jul2025 vid: 6 iid: 7 pid: 97109 pub: MDPI artinfo: ui: 186982232 186982232 186982232 10.3390/diabetology6070059 186982232 ppf: 59 ppct: 16 formats: tig: atl: Engaging People in Medically Underserved Areas in the Community-Based Healthy Eating and Active Living to Reverse Diabetes (HEAL Diabetes) Program. aug: au: Boykins, Alexandria M. Surbhi, Satya Bailey, James E. affil: Tennessee Population Health Consortium, University of Tennessee Health Science Center, Memphis, TN 38163, USA sug: subj: Medically Underserved Area United States Diabetes Mellitus Therapy Behavior Modification Patient Attitudes Research Subject Retention Research Subject Recruitment Program Evaluation Quality Improvement Health Promotion Health Behavior Eating Behavior Health Services Research Human Male Female Descriptive Research Exploratory Research Multimethod Studies Descriptive Statistics Pilot Studies Funding Source Diabetic Patients Low Socioeconomic Status Health Services Accessibility United States African Americans Behavioral Changes Life Style Changes Diabetes Mellitus Prevention and Control Adult Middle Age Aged Aged, 80 and Over Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background/Objectives: Recruiting and retaining low-income participants in community-based diabetes interventions remains a persistent challenge, particularly in medically underserved areas. This study describes engagement strategies and lessons learned recruiting for a 12-month pilot of a community-based, medically tailored nutrition program for diabetes remission and weight loss. Methods: A descriptive, exploratory mixed-methods study was performed to assess the effectiveness of recruitment and engagement strategies in the HEAL Diabetes program and identify areas for improvement. Recruitment and enrollment data were tracked utilizing recruitment logs and field notes. Descriptive statistics were used to analyze recruitment activity and retention rates, while qualitative analysis of fieldnotes identified key barriers and facilitators. Results: Among 83 eligible participants, 63 (75.9%) completed the in-person screening and 35 (55.6% enrollment rate) enrolled. Retention was high, with 30 completing the study. Participants were largely African American (97.1%), female (70.6%), average age of 59.8 years, with a household income below USD 49,000 (74.3%). Recruitment cycles achieved 87.5% of the target before budget constraints halted enrollment. Recruitment was hindered by limited clinical integration, social barriers and life demands, while facilitators to recruiting included trust, flexibility, and tangible support for participation. Conclusions: Conventional recruitment methods, including registry-based approaches, were insufficient for engaging underserved populations. Participant-centric strategies, emphasizing trust, practical support, and structural and cultural relevance, can help enhance enrollment and retention. Effective engagement in community-based diabetes interventions requires multifaceted approaches that address clinical, social, and structural barriers to participation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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