{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T19:31:11Z","timestamp":1786390271509,"version":"build-2736575974"},"reference-count":53,"publisher":"American Diabetes Association","issue":"4","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"name":"Kaiser Permanente Division of Research DREAMS Center for Diabetes Translational Research","award":["NIDDK P30DK092924"],"award-info":[{"award-number":["NIDDK P30DK092924"]}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>One-quarter of young adults have prediabetes, yet preventive interventions in this age-group face well-documented challenges with engagement. We explored the acceptability, appropriateness, and feasibility of young adult\u2013tailored diabetes prevention interventions in various potential host settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>In this qualitative study, we conducted semistructured interviews with managers and leaders from three organization types in one region: 1) Diabetes Prevention Program (DPP) providers, 2) young adult\u2013serving community-based organizations (CBOs), and 3) community college health and basic needs directors. We analyzed themes using a general inductive approach followed by directed content analysis within an implementation science framework assessing appropriateness (essential skills and functions), acceptability (mission alignment and prioritization), and feasibility (available resources to enable success).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>We interviewed 17 participants (5 DPP providers, 5 CBO representatives, 7 community college directors) from December 2024 through May 2025. We found high appropriateness for intervention in both CBOs and community colleges, while acceptability and feasibility of providing such interventions was highest in community colleges. DPPs were less promising settings for young adult adaptation, given their primary focus on middle-aged populations with little incentive or expertise to branch out into younger adults. Across organization types, many concrete strategies for youth centeredness emerged that could inform future intervention development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Identifying organizations that reach young adults at high risk for diabetes and have an interest in and capacity for intervention is an important first step to developing scalable, sustainable prevention interventions for this population. We found high appropriateness among CBOs and community colleges, with highest acceptability and feasibility in community colleges.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/doc26-0070","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T14:55:16Z","timestamp":1783522516000},"page":"649-659","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":0,"title":["Implementation Science Analysis of Potential Organizational Settings for Young Adult\u2013Tailored Diabetes Prevention Interventions"],"prefix":"10.2337","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9140-2130","authenticated-orcid":false,"given":"Abigail R.O.","family":"Arons","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine and Bioethics, Department of Medicine, University of California 1 , Davis, Sacramento, CA"},{"name":"Division of General Pediatrics, Department of Pediatrics, University of California 2 , Davis, Sacramento, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"Baalbaki","sequence":"additional","affiliation":[{"name":"Institute for Health Policy Studies, University of California 3 , San Francisco, San Francisco, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Ozuna-Resendiz","sequence":"additional","affiliation":[{"name":"Institute for Health Policy Studies, University of California 3 , San Francisco, San Francisco, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney R.","family":"Lyles","sequence":"additional","affiliation":[{"name":"Center for Health Care Policy and Research, University of California 4 , Davis, Sacramento, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy L.","family":"Beck","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics, Department of Pediatrics, University of California 5 , San Francisco, San Francisco, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"2026081014513958200_B1","doi-asserted-by":"crossref","first-page":"e039239","DOI":"10.1161\/JAHA.124.039239","article-title":"Cardiovascular health in the transition from adolescence to emerging adulthood: a scientific statement from the American Heart Association","volume":"14","author":"Scott","year":"2025","journal-title":"J Am Heart Assoc"},{"key":"2026081014513958200_B2","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s11121-019-0976-z","article-title":"Opportunities and challenges for prevention and intervention in emerging adulthood: introduction to the special issue","volume":"20","author":"Cleveland","year":"2019","journal-title":"Prev Sci"},{"key":"2026081014513958200_B3","doi-asserted-by":"crossref","first-page":"2313","DOI":"10.1016\/S0140-6736(25)00830-X","article-title":"Early-onset type 2 diabetes: the next major diabetes transition","volume":"405","author":"Luk","year":"2025","journal-title":"Lancet"},{"key":"2026081014513958200_B4","doi-asserted-by":"crossref","first-page":"e0268805","DOI":"10.1371\/journal.pone.0268805","article-title":"Trends in lifetime risk and years of potential life lost from diabetes in the United States, 1997\u20132018","volume":"17","author":"Koyama","year":"2022","journal-title":"PLoS One"},{"key":"2026081014513958200_B5","doi-asserted-by":"crossref","first-page":"e194498","DOI":"10.1001\/jamapediatrics.2019.4498","article-title":"Prevalence of prediabetes among adolescents and young adults in the United States, 2005-2016","volume":"174","author":"Andes","year":"2020","journal-title":"JAMA Pediatr"},{"key":"2026081014513958200_B6","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/S2213-8587(23)00225-5","article-title":"Current insights and emerging trends in early-onset type 2 diabetes","volume":"11","author":"Misra","year":"2023","journal-title":"Lancet Diabetes Endocrinol"},{"key":"2026081014513958200_B7","doi-asserted-by":"crossref","first-page":"e016115","DOI":"10.1161\/JAHA.120.016115","article-title":"Challenges and opportunities for the prevention and treatment of cardiovascular disease among young adults: report from a National Heart, Lung, and Blood Institute Working Group","volume":"9","author":"Gooding","year":"2020","journal-title":"J Am Heart Assoc"},{"key":"2026081014513958200_B8","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1001\/jama.2023.2308","article-title":"The urgent need to refocus cardiovascular disease prevention efforts on young adults","volume":"329","author":"Allen","year":"2023","journal-title":"JAMA"},{"key":"2026081014513958200_B9","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.amepre.2009.11.001","article-title":"The need for targeted weight-control approaches in young women and men","volume":"38","author":"Loria","year":"2010","journal-title":"Am J Prev Med"},{"key":"2026081014513958200_B10","doi-asserted-by":"crossref","first-page":"2384","DOI":"10.1093\/aje\/kwab149","article-title":"Influential periods in longitudinal clinical cardiovascular health scores","volume":"190","author":"Krefman","year":"2021","journal-title":"Am J Epidemiol"},{"key":"2026081014513958200_B11","doi-asserted-by":"crossref","first-page":"12494","DOI":"10.1038\/s41598-021-91910-z","article-title":"Life-course trajectories of weight and their impact on the incidence of type 2 diabetes","volume":"11","author":"Yacam\u00e1n-M\u00e9ndez","year":"2021","journal-title":"Sci Rep"},{"key":"2026081014513958200_B12","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1056\/NEJMoa1713231","article-title":"Change in overweight from childhood to early adulthood and risk of type 2 diabetes","volume":"378","author":"Bjerregaard","year":"2018","journal-title":"N Engl J Med"},{"key":"2026081014513958200_B13","doi-asserted-by":"crossref","first-page":"i2195","DOI":"10.1136\/bmj.i2195","article-title":"Trajectory of body shape in early and middle life and all cause and cause specific mortality: results from two prospective US cohort studies","volume":"353","author":"Song","year":"2016","journal-title":"BMJ"},{"key":"2026081014513958200_B14","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1177\/0022146517702421","article-title":"Emerging adulthood, emergent health lifestyles: sociodemographic determinants of trajectories of smoking, binge drinking, obesity, and sedentary behavior","volume":"58","author":"Daw","year":"2017","journal-title":"J Health Soc Behav"},{"key":"2026081014513958200_B15","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1007\/s11892-017-0938-4","article-title":"The transition into young adulthood: a critical period for weight control","volume":"17","author":"Lanoye","year":"2017","journal-title":"Curr Diab Rep"},{"key":"2026081014513958200_B16","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1136\/jech-2024-222472","article-title":"Early adulthood socioeconomic trajectories contribute to inequalities in adult diet quality, independent of childhood and adulthood socioeconomic position","volume":"79","author":"Tao","year":"2025","journal-title":"J Epidemiol Community Health"},{"key":"2026081014513958200_B17","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1161\/CIRCULATIONAHA.111.060681","article-title":"Healthy lifestyle through young adulthood and the presence of low cardiovascular disease risk profile in middle age: the Coronary Artery Risk Development in (Young) Adults (CARDIA) study","volume":"125","author":"Liu","year":"2012","journal-title":"Circulation"},{"key":"2026081014513958200_B18","doi-asserted-by":"crossref","first-page":"2341","DOI":"10.1016\/S0140-6736(25)01067-0","article-title":"Managing early-onset type 2 diabetes in the individual and at the population level","volume":"405","author":"Misra","year":"2025","journal-title":"Lancet"},{"key":"2026081014513958200_B19","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1056\/NEJMoa012512","article-title":"Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin","volume":"346","author":"Knowler","year":"2002","journal-title":"N Engl J Med"},{"key":"2026081014513958200_B20","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1093\/tbm\/ibaa048","article-title":"Participation and weight loss in online National Diabetes Prevention Programs: a comparison of age and gender subgroups","volume":"11","author":"Sauder","year":"2021","journal-title":"Transl Behav Med"},{"key":"2026081014513958200_B21","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.amepre.2017.06.013","article-title":"Reach and effectiveness of the National Diabetes Prevention Program for young women","volume":"53","author":"Ritchie","year":"2017","journal-title":"Am J Prev Med"},{"key":"2026081014513958200_B22","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.2337\/dc16-2099","article-title":"A national effort to prevent type 2 diabetes: participant-level evaluation of CDC\u2019s National Diabetes Prevention Program","volume":"40","author":"Ely","year":"2017","journal-title":"Diabetes Care"},{"key":"2026081014513958200_B23","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1111\/dme.14083","article-title":"The Healthier You: NHS Diabetes Prevention Programme: digital modes of delivery engage younger people","volume":"36","author":"McGough","year":"2019","journal-title":"Diabet Med"},{"key":"2026081014513958200_B24","doi-asserted-by":"crossref","first-page":"106904","DOI":"10.1016\/j.cct.2022.106904","article-title":"Recruitment and retention of emerging adults in lifestyle interventions: findings from the REACH trial","volume":"121","author":"LaRose","year":"2022","journal-title":"Contemp Clin Trials"},{"key":"2026081014513958200_B25","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1002\/osp4.71","article-title":"A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs","volume":"2","author":"LaRose","year":"2016","journal-title":"Obes Sci Pract"},{"key":"2026081014513958200_B26","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1097\/MOP.0000000000001461","article-title":"Behavioral interventions for adolescents and young adults with type 2 diabetes or prediabetes","volume":"37","author":"Ko","year":"2025","journal-title":"Curr Opin Pediatr"},{"key":"2026081014513958200_B27","first-page":"S1499","article-title":"A qualitative study exploring diabetes prevention intervention needs and ideas among young adults at high risk for diabetes","author":"Arons","year":"2026","journal-title":"J Nutr Educ Behav"},{"key":"2026081014513958200_B28","doi-asserted-by":"crossref","first-page":"48-PUB","DOI":"10.2337\/db24-48-PUB","article-title":"Implementation of a student-tailored version of the Diabetes Prevention Program","volume":"73","author":"Wisk","year":"2024","journal-title":"Diabetes"},{"key":"2026081014513958200_B29","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1177\/0145721714539736","article-title":"A feasibility study to develop a diabetes prevention program for young adults with prediabetes by using digital platforms and a handheld device","volume":"40","author":"Cha","year":"2014","journal-title":"Diabetes Educ"},{"key":"2026081014513958200_B30","doi-asserted-by":"crossref","first-page":"379","DOI":"10.7326\/0003-4819-151-6-200909150-00002","article-title":"Ambulatory care among young adults in the United States","volume":"151","author":"Fortuna","year":"2009","journal-title":"Ann Intern Med"},{"key":"2026081014513958200_B31","doi-asserted-by":"crossref","first-page":"e565","DOI":"10.1542\/peds.2008-2601","article-title":"Preventive care for adolescents: few get visits and fewer get services","volume":"123","author":"Irwin","year":"2009","journal-title":"Pediatrics"},{"key":"2026081014513958200_B32","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1016\/j.jadohealth.2014.03.001","article-title":"Young adults\u2019 health care utilization and expenditures prior to the Affordable Care Act","volume":"54","author":"Lau","year":"2014","journal-title":"J Adolesc Health"},{"key":"2026081014513958200_B33","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1001\/jamapediatrics.2014.1691","article-title":"Improvement in preventive care of young adults after the affordable care act: the affordable care act is helping","volume":"168","author":"Lau","year":"2014","journal-title":"JAMA Pediatr"},{"key":"2026081014513958200_B34","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.jadohealth.2016.10.005","article-title":"Research on clinical preventive services for adolescents and young adults: where are we and where do we need to go?","volume":"60","author":"Harris","year":"2017","journal-title":"J Adolesc Health"},{"key":"2026081014513958200_B35","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1177\/1524839909341025","article-title":"Settings for health promotion: an analytic framework to guide intervention design and implementation","volume":"10","author":"Poland","year":"2009","journal-title":"Health Promot Pract"},{"key":"2026081014513958200_B36","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1007\/s43477-024-00134-6","article-title":"The application and evolution of the Practical, Robust Implementation and Sustainability Model (PRISM): history and innovations","volume":"4","author":"Glasgow","year":"2024","journal-title":"Glob Implement Res Appl"},{"key":"2026081014513958200_B37","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13012-021-01181-5","article-title":"Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): the CFIR outcomes addendum","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement Sci"},{"key":"2026081014513958200_B38","doi-asserted-by":"crossref","first-page":"430","DOI":"10.3389\/fpubh.2020.00430","article-title":"Comparing, contrasting, and integrating dissemination and implementation outcomes included in the RE-AIM and implementation outcomes frameworks","volume":"8","author":"Reilly","year":"2020","journal-title":"Front Public Health"},{"key":"2026081014513958200_B39","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1186\/s13012-017-0635-3","article-title":"Psychometric assessment of three newly developed implementation outcome measures","volume":"12","author":"Weiner","year":"2017","journal-title":"Implement Sci"},{"key":"2026081014513958200_B40","first-page":"22","volume-title":"Qualitative Research: A Guide to Design and Implementation.","author":"Merriam","year":"2015"},{"key":"2026081014513958200_B41","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual Health Res"},{"key":"2026081014513958200_B42","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10488-010-0319-7","article-title":"Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda","volume":"38","author":"Proctor","year":"2011","journal-title":"Adm Policy Ment Health"},{"key":"2026081014513958200_B43","unstructured":"University of California, Los Angeles\n          . T-UP: engaging vulnerable students in diabetes prevention. In: ClinicalTrials.gov. Bethesda, MD, National Library of Medicine, 2025. NLM Identifier: NCT06385015. Accessed 17 June 2026. Available from https:\/\/clinicaltrials.gov\/show\/NCT06385015"},{"key":"2026081014513958200_B44","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1177\/1098214005283748","article-title":"A general inductive approach for analyzing qualitative evaluation data","volume":"27","author":"Thomas","year":"2006","journal-title":"Am J Eval"},{"key":"2026081014513958200_B45","doi-asserted-by":"crossref","first-page":"110195","DOI":"10.1016\/j.diabres.2022.110195","article-title":"Two decades of diabetes prevention efforts: a call to innovate and revitalize our approach to lifestyle change","volume":"198","author":"Golovaty","year":"2023","journal-title":"Diabetes Res Clin Pract"},{"key":"2026081014513958200_B46","doi-asserted-by":"crossref","first-page":"e92","DOI":"10.1017\/cts.2022.426","article-title":"Measuring capacity to use evidence-based interventions in community-based organizations: a comprehensive, scoping review","volume":"6","author":"Ramanadhan","year":"2022","journal-title":"J Clin Transl Sci"},{"key":"2026081014513958200_B47","doi-asserted-by":"crossref","first-page":"5686","DOI":"10.1017\/S1368980021001129","article-title":"Recruiting and retaining young adults: what can we learn from behavioural interventions targeting nutrition, physical activity and\/or obesity? A systematic review of the literature","volume":"24","author":"Whatnall","year":"2021","journal-title":"Public Health Nutr"},{"key":"2026081014513958200_B48","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.amepre.2016.10.012","article-title":"Weight-gain reduction among 2-year college students: the CHOICES RCT","volume":"52","author":"Lytle","year":"2017","journal-title":"Am J Prev Med"},{"key":"2026081014513958200_B49","first-page":"1","article-title":"Effectiveness of a required health-related fitness course on dietary behaviors among community college students","volume":"9","author":"Evans","year":"2018","journal-title":"J Health Educ Teach"},{"key":"2026081014513958200_B50","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3200\/JACH.55.1.33-40","article-title":"Evaluation of the Energize Your Life! Social marketing campaign pilot study to increase fruit intake among community college students","volume":"55","author":"Shive","year":"2006","journal-title":"J Am Coll Health"},{"key":"2026081014513958200_B51","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1177\/0145721716658709","article-title":"A self-assessment tool for screening young adults at risk of type 2 diabetes using Strong Heart Family Study data","volume":"42","author":"Yan","year":"2016","journal-title":"Diabetes Educ"},{"key":"2026081014513958200_B52","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1038\/oby.2010.262","article-title":"The differential prevalence of obesity and related behaviors in two- vs. four-year colleges","volume":"19","author":"Laska","year":"2011","journal-title":"Obesity"},{"key":"2026081014513958200_B53","doi-asserted-by":"crossref","first-page":"e12343","DOI":"10.1111\/cob.12343","article-title":"Behavioural weight loss treatment preferences of college students with overweight and obesity","volume":"10","author":"Bihuniak","year":"2020","journal-title":"Clin Obes"}],"container-title":["Diabetes Obesity and Cardiometabolic CARE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/docm-care\/article-pdf\/1\/4\/649\/888146\/docm260070.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/docm-care\/article-pdf\/1\/4\/649\/888146\/docm260070.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:51:46Z","timestamp":1786387906000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/docm-care\/article\/1\/4\/649\/172155\/Implementation-Science-Analysis-of-Potential"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":53,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,7,8]]},"published-print":{"date-parts":[[2026,7,1]]}},"URL":"https:\/\/doi.org\/10.2337\/doc26-0070","relation":{},"ISSN":["3067-3518","3067-3534"],"issn-type":[{"value":"3067-3518","type":"print"},{"value":"3067-3534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,1]]}}}