A systematic review of the mechanisms influencing engagement in diabetes prevention programmes for people with pre-diabetes

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-06-03 DOI:10.1111/dme.15323

Britney McMullen, Kerith Duncanson, Clare Collins, Lesley MacDonald-Wicks

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Abstract

Aims

To identify barriers and enablers that influence engagement in and acceptability of diabetes prevention programmes for people with pre-diabetes. The results will provide insights for developing strategies and recommendations to improve design and delivery of diabetes prevention programmes with enhanced engagement and acceptability for people with pre-diabetes.

Methods

This review used a critical realist approach to examine context and mechanisms of diabetes prevention programmes. Medline, Embase, PsycInfo, Cinahl, Web of Science, Scopus and Pre-Medline were searched for English language studies published between 2000 and 2023. A quality assessment was conducted using Joanna Briggs Institute critical appraisal tools.

Results

A total of 90 papers met inclusion criteria. The included studies used a variety of quantitative and qualitative methodologies. Data extracted focused on barriers and enablers to engagement in and acceptability of diabetes prevention programmes, with seven key mechanisms identified. These included financial, environmental, personal, healthcare, social and cultural, demographic and programme mechanisms. Findings highlighted diverse factors that influenced engagement in preventive programmes and the importance of considering these factors when planning, developing and implementing future diabetes prevention programmes.

Conclusions

Mechanisms identified in this review can inform design and development of diabetes prevention programmes for people with pre-diabetes and provide guidance for healthcare professionals and policymakers. This will facilitate increased participation and engagement in preventive programmes, potentially reducing progression and/or incidence of pre-diabetes to type 2 diabetes and improving health outcomes.

Abstract Image

查看原文本刊更多论文

对糖尿病前期患者参与糖尿病预防计划的影响机制进行系统回顾。

目的：找出影响糖尿病前期患者参与和接受糖尿病预防计划的障碍和促进因素。研究结果将为制定战略和建议提供见解，以改进糖尿病预防计划的设计和实施，提高糖尿病前期患者的参与度和接受度：本综述采用批判现实主义方法研究糖尿病预防计划的背景和机制。在 Medline、Embase、PsycInfo、Cinahl、Web of Science、Scopus 和 Pre-Medline 中检索了 2000 年至 2023 年间发表的英文研究。采用乔安娜-布里格斯研究所的关键评估工具进行了质量评估：共有 90 篇论文符合纳入标准。纳入的研究采用了多种定量和定性方法。提取的数据主要集中在糖尿病预防计划的参与障碍和促进因素，并确定了七个关键机制。这些机制包括财务机制、环境机制、个人机制、医疗保健机制、社会文化机制、人口机制和计划机制。研究结果强调了影响参与预防计划的各种因素，以及在规划、制定和实施未来糖尿病预防计划时考虑这些因素的重要性：本综述所确定的机制可为糖尿病前期患者糖尿病预防计划的设计和开发提供参考，并为医护人员和政策制定者提供指导。这将促进更多的人参与预防计划，有可能减少糖尿病前期向 2 型糖尿病的发展和/或发病率，并改善健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”