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Fidelity of implementation: facilitator experience and behaviors in the getting people
Dissertation   Open access

Fidelity of implementation: facilitator experience and behaviors in the getting people

Beatriz Oralia Reyes
Doctor of Public Health (Dr.P.H.), Drexel University
Aug 2016
DOI:
https://doi.org/10.17918/etd-6961
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Abstract

Diabetes prevention Mixed methods research Qualitative research Health Policy Public Health Social Justice
It has been 14 years since the results from the initial Diabetes Prevention Program were published. Since then, this evidence-based program has been adapted by researchers to fit the needs, resources, culture, and language of various communities in diverse settings. Translating an intervention to community settings consists of a myriad of factors leading to program success. The participant outcomes of a program are justifiably the most important aspect of prevention programs. However, there is a dearth of research on the experiences and behaviors of program facilitators. In fulfillment of the three paper model, this dissertation consists of three separate papers that have been prepared for peer-reviewed journals. In Paper 1, the literature on adapted DPP studies in community settings was assessed using the PRISMA Framework to determine program facilitator selection, training and evaluation fidelity of implementation. In Paper 2 a qualitative analysis of the session audio tapes of an adapted DPP study, the Getting People in Sync (GPS) Prediabetes Prevention Program was conducted to assess fidelity to the program manual by GPS Facilitator during program implementation. Paper 3 consisted of mixed methods approach to assess facilitator experiences and behaviors with the GPS Program manual, training, and program implementation. A qualitative analysis of individual interviews, short survey, and GPS Participant outcomes were used to explore the best practices and challenges of program implementation.

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