Experiences of online group support for engaging and supporting participants in the National Health Service Digital Diabetes Prevention Programme: A qualitative interview study.

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Wang Chun Cheung, Lisa M Miles, Rhiannon E Hawkes, David P French
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引用次数: 0

Abstract

Objectives: The National Health Service Digital Diabetes Prevention Programme is a nine-month behavioural intervention for adults in England at risk of type 2 diabetes. This qualitative study aimed to explore how service users engaged with the group support available within the programme.

Methods: The majority of participants (n = 33), all service users, were interviewed twice via telephone, at 2-4 months into the programme, and at the end of the programme at 8-10 months. Semi-structured interviews covered participants' experiences of online group support functions and how such groups served as a route of support to aid participants' behavioural changes. Data were analysed using manifest thematic analysis.

Results: The majority of participants valued the format of closed group chats, which provided an interactive platform to offer and receive support during their behaviour change journey. However, engagement with group chats reduced over time, and some participants did not find them useful when there was a lack of common interests within the group. Health coaches helped to promote engagement and build rapport among participants within the group chats. Participants reported mixed experiences of discussion forums.

Conclusions: Programme developers should consider how to optimise online group support to help service users make behavioural changes, in terms of format, participant composition and use of health coach moderators. Further research is required to better understand who might benefit most from 'group chat' or 'discussion forum' support. Health coach moderation of online support groups is likely to facilitate engagement.

在线小组支持在吸引和支持国民健康服务数字糖尿病预防计划参与者方面的经验:定性访谈研究。
目标:国民健康服务数字糖尿病预防计划是一项为期九个月的行为干预措施,针对的是英格兰有 2 型糖尿病风险的成年人。这项定性研究旨在探讨服务用户如何参与该计划提供的小组支持:方法:大多数参与者(n = 33)都是服务使用者,他们分别在计划开始后的 2-4 个月和计划结束后的 8-10 个月接受了两次电话访谈。半结构式访谈涉及参与者对在线小组支持功能的体验,以及这些小组如何作为一种支持途径帮助参与者改变行为。采用显式主题分析法对数据进行了分析:结果:大多数参与者都很重视封闭式群组聊天的形式,因为它提供了一个互动平台,可以在他们改变行为的过程中提供和接受支持。然而,随着时间的推移,参与群聊的人数有所减少,当群聊中缺乏共同兴趣时,一些参与者认为群聊没有用处。健康指导员帮助促进了参与者的参与度,并在小组聊天中与参与者建立了融洽的关系。参与者对论坛的体验不一:计划开发者应考虑如何优化在线小组支持,从形式、参与者构成和健康指导员主持人的使用等方面帮助服务使用者改变行为。为了更好地了解哪些人可能从 "群聊 "或 "论坛 "支持中获益最多,还需要开展进一步的研究。健康指导员主持在线支持小组可能会促进参与。
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来源期刊
CiteScore
4.40
自引率
4.20%
发文量
39
期刊介绍: Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.
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