1 / 2

Participant Interest and Retention Survey for the Diabetes Prevention Program

This is a survey aimed at individuals enrolled in the Diabetes Prevention Program (DPP) to gather feedback on their interests and preferences for continued participation. Participants are encouraged to share their needs regarding medical appointments, group activities, and communication with lifestyle coaches. The survey also seeks to understand any reasons for not continuing in the program, ensuring that individuals can effectively manage their health and prevent diabetes. We value your input as we strive to improve our program.

ordell
Télécharger la présentation

Participant Interest and Retention Survey for the Diabetes Prevention Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Participant Interest and Retention Survey Fond du Lac Reservation • 12/15/2010 • Dear Jane, • AsyourlifestylecoachfortheDiabetesPreventionProgram,Iwantedtocheckinandseewhatyourcurrentneedsand interestsare.Pleasetakeamomenttocompletethequestionsbelowandreturntomeinthepostage-paidenvelope. HappyHolidays- Jenn • Iwouldliketocontinueinthe DPP and participatein(pleasecircleallthatapply): • Requiredmedical appointmentsand lab • Group activities • Contactwithmylifestylecoach • Repeatgroupweeklyclasses (sit-inwith upcoming groups startingtheprogram) • OR • Iwould not liketocontinueinthe DPPbecause: • I feel comfortable with the information I learned in the program. I can continue my efforts to prevent diabetesonmyown andwill follow-upwithmymedical provider. • Other health problems • Familyproblems • Scheduling difficulties • I don’tliketheprogram • Other: • Ifyouare onlyinterestedinrequiredmedical appointmentsandlabs, orifyou arenolongerinterestedincontinuingthe program,youdonotneedtoanswerthe remainingquestions. • Howoftenwouldyou liketoparticipateinDPPgroupactivities? • Weekly • Twiceamonth • Monthly • Every3months • Pleaselistactivities you areinterested in: • Howwouldyouprefer tobecontacted by your lifestylecoach? • Schedulean individual appointmentfor discussionorphysical activity • E-mail (pleaselistyourcurrent e-mail) • Phonecall (pleaselistthephonenumber I shouldcontactyou duringclinic hours) • WhileattendingtheYOURWayAdultWeightManagementprogramatMNAW or CAIR. • I would prefer tocontact mylifestylecoach atleastevery3months. • Howoftenwouldyou liketoparticipateinlifestylecoaching? • Weekly • Twiceamonth • Monthly • Every3months

  2. Remember Your Purpose • Theseareyouranswers: • WhyIjoinedtheDiabetesPreventionProgram:“Mydoctor,becausemysugarwasa little high.” • What Ihopetoachievebytakingpart intheDPP:“Tonotget diabetes.” • Howhealthyeatingandbeingactive willhelp meand/or others:“Iwillfeelbetterand livealong healthylifeto enjoymyfamily.” • Jane’sProgram Goals • 7%weight lossgoal=165# • Dailyfat gram goal=42grams • Dailycaloriegoal=1,500calories • Activity goal=150minutesper week • Lifestyle Coaches • JenniferHall:878-2146;jenniferhall@fdlrez.com • KatieHughes:878-3794;kathleenhughes@fdlrez.com • ChrisFoss-Tietz:878-3709;chrisfosstietz@fdlrez.com • Amanda Thompson: 878-3731;amandathompson@fdlrez.com

More Related