Table 1.
Interview Questions
| DISCUSS THE FOLLOWING QUESTIONS AND PROBES WITH ALL PARTICIPANTS: |
|---|
| 1) What barriers prevent individuals from adopting the following activities? Probes: |
| • Healthy eating |
| • Increased physical activity/exercise |
| • Accessing health resources in the community, including health care providers (physicians, nurses, dietitians, etc.) |
| • Attending weekly/biweekly intervention sessions that will be offered as part of the planned program |
| 2) What would motivate you (inspire you or keep you going) the most to adopt the recommendations we will be making in terms of healthier eating and increasingphysical activity (regular brisk walking)? |
| Probes: |
| • Knowledge about the effects of diabetes |
| • Knowledge about the benefits of nutrition and exercise |
| • Knowledge about the increasing rates of diabetes in Starr County/Texas/ U.S./ World |
| • Reminders – what type (e.g., text messages, post cards), when (e.g., time of day), and how often (e.g., daily, weekly, other) |
| • Any specific activities during the group sessions (e.g., guest lectures by local physicians, persons with diabetes, individuals who have successfully lost weight, etc.) |
| • Financial incentives — cash or other prizes, contests, awards for achievement(s) |
| 3) What would be the most important things you’d like to learn from this program that would be useful in preventing diabetes? |
| Probes: |
| • Healthier eating |
| • Increasing physical activity/exercise |
| • Accessing health resources in the community |
| • Obtaining family involvement/support |
| • Communicating with physician or other health care provider(s) [in U.S. and/or Mexico] |
| • Coping with daily stressors |
| • Learning more about the effects of diabetes |
| • Educational support groups or how to establish your own |
| • Available outdoor settings/parks/natural areas in which to exercise |
| 4) What are key local community resources for individuals trying to prevent diabetes? |
| Probes: |
| • Grocery stores or local restaurants that offer healthier foods choices |
| • Exercise facilities |
| • Free/low-cost health care providers/facilities |
| • Support from businesses, workplace, schools for healthy behaviors |
| 5) What are your thoughts on using some type of technology as part of the diabetes prevention program? Do you have access to any of these? |
| Probes: |
| • Use of Fitbits to track steps vs. other types of pedometers (may not know if haven’t used one) |
| • Using a computer or tablet in order to track the Fitbit data (access at home? work? other?) |
| • Using a smartphone (current access?) |
| • Motivating text messages |
| • YouTube videos on computer or smartphone |
| 6) What other information or recommendations would help us design a prevention program? Any suggestions for how to motivate people to make changes in diet and exercise? |
| Probes: |
| • Have local physicians or others from the community give talks about preventing diabetes? |
| • Have persons with diabetes speak to the groups about what they wish they had done to prevent diabetes? |
| • Games or contests for individuals or groups to eat healthy or increase physical activity |
| • What would be best times to offer weekly classes? |
| • Community-wide gatherings or gatherings for the whole family? |
| • Any other thoughts or suggestions? |
| DISCUSS THE FOLLOWING WITH FORMER PARTICIPANTS OF OUR DSME PROGRAM: |
| 1) What aspects of diabetes self-management programs (DSME), including our previous DSME interventions, might be helpful in preventing diabetes? |
| Probes: Guidance on, assistance with, or suggestions for – |
| • Healthier eating with a focus on healthier preparation and selection of preferred Mexican American or other types of foods |
| • Safely increasing physical activity/exercise, including 15 minutes of group exercise during the intervention sessions and planning for physical activity at home |
| • Attending weekly/biweekly intervention sessions that will be offered |
| • Location of program in the community (e.g., schools, churches)/transportation needs |
| • Obtaining family support and involvement in healthier eating and increased physical activity |
| • Communicating with physician(s) or other health care provider(s) [in U.S. and/or Mexico] |
| • Frequency of sessions and/or length of the program |
| • Providing the program in Spanish |
| • Educational materials: written (length), videos |
| • Locating and accessing health resources in the community |
| • Educational resources in the community, in addition to family, television, and the internet, that have been particularly helpful for you or gave you new insight to make sustainable changes |
| • How you seek reinforcement to have a healthy lifestyle when you get frustrated or down |
| • Effective ways you have found to communicate diabetes prevention to others |
| • Other aspects of the diabetes educational program particularly helpful for you or gave you new insight to make sustainable changes (e.g., data collection schedule/process, communication with program staff, other) |
| 2) Knowing what you know now and the fact that you have diabetes, what do you wish you had done before you had diabetes in order to prevent it in the first place? |
| Probes: |
| • Healthier eating (eating out for meals or at parties, cooking at home) |
| • Increasing physical activity/exercise |
| • Accessing health resources in the community |
| • Obtaining family involvement/support |
| • Communicating with physician or other health care provider(s) [in U.S. and/or Mexico] |
| • Coping with daily stressors |
| • Not giving up |
| • Other |