Fellow, National Clinician Scholars Program UCSF Benioff Children's Hospital San Francisco San Francisco, California, United States
Background: Despite nearly a quarter of older adolescents and young adults meeting prediabetes criteria, little evidence exists for effective interventions to reduce diabetes risk in this age group. To bridge this gap, youth input into intervention design is critical to inform diabetes prevention efforts. Objective: To understand the perspective of emerging adults with prediabetes on their experience living with increased diabetes risk, and their preferences for diabetes prevention strategies that would best serve them. Design/Methods: This is a qualitative study to capture the perspectives of approximately 20 emerging adult-aged participants who have prediabetes. Participants are English or Spanish-speaking patients ages 18-26 from clinics at a single safety net hospital (pediatrics, family medicine, and internal medicine) with prediabetes, excluding patients who have had diabetes at any point. Eligible participants are identified via EHR query and recruited via mailed letters and follow up phone calls and text messages. Participants will be asked to complete a brief online survey and one 45-minute semi-structured interview. The survey and interview protocol are based on a COM-B behavioral change framework, covering motivations and structural factors that influence existing behaviors, and are designed to elicit preferences for a potential diabetes prevention intervention including mode of delivery, educational content, and resource needs with respect to food insecurity and physical activity access. Interviews will be transcribed, and analysis conducted using thematic analysis methods; descriptive statistics of survey responses will also be generated. Participants receive remuneration for their participation. At the time of abstract submission, this project has obtained all required IRB approvals and is in the recruitment phase. All interviews are anticipated to be completed by January 2024, with qualitative data analysis complete before April 1, 2024.
