Introduction and Objective: Despite a higher prevalence of prediabetes, the reach of the National Diabetes Prevention Program (DPP) has been challenging in rural areas. This study examines the preliminary utility of different recruitment strategies to improve proportion and representativeness (i.e., reach) of rural participants that enroll in the National DPP.Methods: Two Cooperative Extension sites in rural Kansas were allocated to a bundle of passive recruitment strategies (social and mass media, print advertising) or an active population health management strategy (PHM) with a rural health clinic for patient identification. Participant demographics were obtained by self-report at baseline. We calculated and compared time to enrollment (i.e., number of working days from start of recruitment to the last participant consented). Proportional reach was calculated as the number of participants enrolled divided by the number screened eligible.Results: To date, 29 adults with prediabetes have enrolled (Table). The PHM strategy screened 24 participants, enrolling 15 of 16 eligible (94%) over 52 days (8.8 per month). Passive bundled strategies screened 61 participants, enrolling 14 of 25 eligible (56%) over 36 days (11.9 per month).Conclusion: Testing mechanisms to improve reach in rural settings is essential. These findings highlight the need for context-specific recruitment strategies to enhance the dissemination of the National DPP.
G. Wagner: None. P. Estabrooks: None. B. Forseth: None. T. Michaud: None. A. Rice: None. F. Steger: None. C. Holmes: None. E. Johannes: None. L. Koon: None. R. Montgomery: None. J. Donnelly: None. A. Gorczyca: None.
National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (R01DK132362)
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