NWT RESEARCH DATABASE

Regions: Inuvialuit Settlement Region, Gwich'in Settlement Area, Sahtu Settlement Area, Dehcho Region, North Slave Region, South Slave Region, Qikiqtaaluk Region

Tags: diabetes, prediabetes, Nextstepssurvey

Objective(s): The primary aim of this project is to determine awareness of and access to diabetes prevention care offered in Canada among individuals at high risk of type 2 diabetes (T2D). The secondary aims are to a) identify facilitators and barriers to participation in diabetes prevention initiatives, b) gather socio-demographic and health information of individuals at high risk of T2D and c) and gather information on individuals knowledge of type 2 diabetes and the associated risk.

Project Description: This licence has been issued for the scientific research application No. 6029. The primary aim of this project is to determine awareness of and access to diabetes prevention care offered in Canada among individuals at high risk of type 2 diabetes (T2D). The secondary aims are to a) identify facilitators and barriers to participation in diabetes prevention initiatives, b) gather socio-demographic and health information of individuals at high risk of T2D and c) and gather information on individuals knowledge of type 2 diabetes and the associated risk. In the first instance this project will be a cross-sectional observational study design consisting of a pan-Canadian survey, followed by a qualitative investigation among a sub-sample of individuals who identify as an ethnic minority. We are setting this project up as a registry so that we can repeat the survey yearly if funding is awarded. By applying for a registry at this time we hope to use this information as part of the registry and for future research projects, currently unknown. Measures: The survey will collect data on individual demographics, medical history, health behaviours, knowledge of T2D, perceived risk of T2D, access to diabetes prevention care, medication use, health care coverage, psychological health, depressive symptoms, quality of life and sleep disturbances. This data will be collected online using REDCap (PID 2054). An excel sheet with all the specific questions to be asked has been attached to this ethics application. The interview guide will be developed to elicit discussion about individuals percieved barriers and facilitators to attending diabetes prevention services. An interview guide has been attached to this ethics application. Statistical Analysis: Demographic and clinical characteristics will be tabulated according to geographical location. Categorical variables will be described as proportions or rates while continuous variables will be presented as mean and standard deviation or median with interquartile range. Outliers and normality will be assessed visually, and normality assessed using kurtosis and skewness. Chi-square tests for categorical variables and t tests for continuous ones were applied to compare the distribution between the potential predictors according to whether the participants reported engaging in a diabetes prevention program of some kind. Access to care will be defined as having enrolled and completed a diabetes prevention program or lifestyle behavioural program. Predictors of completion of a lifestyle behavioural program will include sociodemographic variables (e.g., age, sex, geographic location), health behaviours, perceived risk and knowledge. Binary logistic regression analysis will be used to elucidate the effect of these potential predictors on engagement in diabetes prevention measures. The odds ratios (ORs) and the respective 95% confidence interval (CI) were calculated. A P-value of <.05 was considered statistically significant. All analyses will be performed using R. Thematic analysis will be conducted to analyse interview data (Braun and Clarke 2006). Specifically, inductive coding of the data by two independent reviewers will generate a series of codes. Each code will be compared to other codes to ensure they are mutually exclusive. Codes will then be grouped into subthemes and then themes. Themes will be mapped to components of COM-B (Michie, Atkins, and West 2014) to identify the barriers and facilitators to engagement in behavioural interventions or taking pharmacologic treatment. Sample size: We will aim to recruit as many individuals as possible for the survey. For the interviews a total of 20 individuals who identify as an ethnic minority will be invited to take part in one-on-one interviews. Communications to NWT stakeholders has been approved through ethical review and will include email communication informing stakeholders about the study and inviting them to connect with the research team to discuss the study further. The fieldwork for this study will be conducted from: December 17 - December 31, 2024