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This study sought to address this gap by implementing DPP in rural church settings through a community\u2013academic partnership and identifying implementation facilitators and barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross\u2010sectional qualitative study. Semistructured interviews guided by the Consolidated Framework for Implementation Research (CFIR) assessed church leaders' and lifestyle coaches' perceptions of implementing DPP in rural churches. Thematic analysis was used to identify key themes through an inductive approach; then, these emergent themes were deductively linked to CFIR constructs. COREQ\u202fguidelines were used to report study findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Twenty\u2010five stakeholders participated. Facilitators to implementing DPP included its evidence\u2010based effectiveness in preventing T2D, as well as support from the academic partner in terms of funding, training, and communication. Additionally, DPP's alignment with community needs, along with the active engagement of pastors in participant recruitment, supported implementation. Several barriers hindered DPP implementation, including transportation and childcare issues, as well as program participants' medical conditions\/disabilities limiting their participation. Furthermore, rural residents' reluctance to adopt lifestyle changes and loyalty to family churches posed challenges to their engagement in DPP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study identified contextual factors influencing DPP implementation in rural communities. Findings highlight the importance of tailored strategies that leverage facilitators while proactively addressing barriers, including rural residents' reluctance to attend programs outside their church, resistance to lifestyle changes, and transportation issues to ensure successful DPP implementation in rural areas.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12888","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T04:19:57Z","timestamp":1728879597000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Facilitators and barriers to implementing the Diabetes Prevention Program in rural church settings: A qualitative study using the Consolidated Framework for Implementation Research"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5209-2515","authenticated-orcid":false,"given":"Smita","family":"Rawal","sequence":"first","affiliation":[{"name":"Department of Clinical and Administrative Pharmacy College of Pharmacy, University of Georgia  Athens Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb A.","family":"Snead","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavior College of Public Health, University of Georgia  Athens Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frantz D.","family":"Soiro","sequence":"additional","affiliation":[{"name":"Department of Clinical and Administrative Pharmacy College of Pharmacy, University of Georgia  Athens Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffery","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Interdenominational Ministerial Alliance  Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian M.","family":"Rivers","sequence":"additional","affiliation":[{"name":"Department of Community Health and Preventive Medicine Cancer Health Equity Institute Morehouse School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry N.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Clinical and Administrative Pharmacy College of Pharmacy, University of Georgia  Athens Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,13]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Centers for Disease Control and Prevention.National Diabetes Statistics Report. 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