Among 14 participants and 12 non-participants, social connection and provider encouragement facilitated MDPP participation, while lack of awareness and low motivation were barriers.
Observational (n=26)
What are the barriers and facilitators to participating in the Medicare Diabetes Prevention Program among older adults?
Lack of awareness, low motivation, and technology challenges are key barriers to MDPP participation, while social connection and provider encouragement facilitate enrollment.
Introduction and Objective: An estimated 27 million older adults have prediabetes; yet, from 2018-2024, only 9,015 Medicare beneficiaries participated in the Medicare Diabetes Prevention Program (MDPP), a fully covered benefit. Factors affecting the use of the MDPP among older adults with prediabetes have not been well-documented. The purpose of this qualitative study was to uncover barriers and facilitators to MDPP participation from the perspectives of older adults who have and have not joined the program. Methods: Two groups of adults age 65+ were recruited—current or former MDPP participants and those who were eligible for the MDPP but had not yet participated. Using a semi-structured interview guide informed by the Consolidated Framework for Implementation Research, we conducted 45-60-minute individual interviews until data saturation occurred. Interviews were conducted in-person or via Zoom, transcribed, coded, and analyzed using thematic analysis. Results: Fourteen MDPP participants and 12 non-participants aged 71.4 ± 4.9 years completed interviews (N=26). Facilitator themes included: 1) Social connection provides motivation and accountability for attendance; 2) Encouragement from healthcare providers helps older adults understand the value of the MDPP; and 3) Convenience for attending group sessions is essential. Barrier themes included: 1) Individuals are unaware of the MDPP and that there is no cost to participate; 2) Low motivation for lifestyle changes and limited understanding of their importance impede interest in participation; and 3) Online sessions are a challenge for those who are uncomfortable using technology. Participants recommended expanding MDPP awareness through endorsements from healthcare providers and strategic advertising via existing Medicare outreach materials. Conclusion: Results highlight several targets for facilitating wider MDPP participation among the millions of older adults at risk for diabetes. Disclosure M. Turk: None. A. Firemark: None. N. Ritchie: None. Funding National Institutes of Health (R15HL163736)
TURK et al. (Fri,) conducted a observational in Prediabetes (n=26). Medicare Diabetes Prevention Program (MDPP) participation vs. Non-participation was evaluated on Barriers and facilitators to MDPP participation. Among 14 participants and 12 non-participants, social connection and provider encouragement facilitated MDPP participation, while lack of awareness and low motivation were barriers.