Implementation strategies from deployment of the National Diabetes Prevention Program in Pennsylvania community pharmacies

Abstract

Objective: To identify implementation strategies used by community pharmacists when initiating the National Diabetes Prevention Program (NDPP).

Design: This study was a qualitative, mid-implementation study using a semi-structured interview guide.

Setting and participants: Community pharmacies in Pennsylvania that received grant funding from the Pennsylvania Pharmacists Association to begin the NDPP.

Outcome measures: A final list of implementation strategies from the Expert Recommendations for Implementing Change and corresponding action items for pharmacists to begin the NDPP in their community pharmacies.

Results: Twenty strategies were used by community pharmacists when implementing the NDPP. These strategies were grouped into 3 implementation phases: (1) designing the program; (2) enrolling patients; and (3) keeping patients engaged. Strategies were further organized into 8 clusters based on strategy characteristics. Pharmacists commonly noted that making classes dynamic, keeping patients engaged through interactive activities, and encouraging patients to join classes with a companion were important when implementing the NDPP.

Conclusion: Pharmacists used an array of strategies to implement the NDPP. This comprehensive list of strategies and accompanying action items can be used by community pharmacists nationwide to facilitate the implementation of the NDPP.