Service users' experiences of, and engagement with, a nationally implemented digital diabetes prevention programme

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2025-02-19 DOI:10.1111/bjhp.12787

Davide Moussas-Alvarez, Rhiannon E. Hawkes, Lisa M. Miles, Charlotte Dack, David P. French

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引用次数: 0

Abstract

Objectives

Type 2 diabetes mellitus (T2DM) may be prevented by promoting weight loss through adopting healthier behaviours (e.g., improved diet and increased physical activity). In 2016, the National Health Service (NHS) in England introduced a 9-month face-to-face T2DM prevention intervention, delivered by four independent providers. Since 2019, the NHS Digital Diabetes Prevention Programme (NHS-DDPP) was offered to increase accessibility of the programme. This research aimed to understand how service users engaged with, and experienced using the NHS-DDPP.

Design

Qualitative interviews.

Method

Semi-structured interviews were conducted with service users (n = 45) who took part in one of the four NHS-DDPP providers' programmes and transcribed verbatim. Transcripts were thematically analysed using a framework approach.

Results

Two overarching themes were produced: ‘Personalized Guidance’ and ‘Path to Success’. Service users valued having health coach support, which provided personalized guidance throughout the programme, alongside access to different app features to suit their needs (e.g., educational content, tracking health behaviours, group support). Service users described self-monitoring, feedback from their health coach and support from their social circle as helpful towards changing their health behaviours. This enabled them to visualize their progress and provided accountability.

Conclusion

Service users emphasized how human contact alongside this digital behaviour change programme improved their experiences and engagement with the programme. Digital health interventions could consider how to better incorporate support from health coaches, friends and family to help users in making behavioural changes. Future digital health interventions should consider how best to harness non-digital elements to promote behaviour change.

Abstract Image

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服务用户对国家实施的数字化糖尿病预防规划的体验和参与

2型糖尿病（T2DM）可以通过采取更健康的行为（如改善饮食和增加体育活动）促进体重减轻来预防。2016年，英国国家医疗服务体系（NHS）推出了一项为期9个月的面对面2型糖尿病预防干预，由四家独立提供者提供。自2019年以来，提供了NHS数字糖尿病预防计划（NHS- ddpp），以提高该计划的可及性。本研究旨在了解服务用户如何参与和使用NHS-DDPP。设计定性访谈。方法采用半结构化访谈的方法，对45名参加nhs - dpp项目的服务用户进行访谈，并逐字记录。使用框架方法对转录本进行主题分析。结果产生了两个总体主题：“个性化指导”和“成功之路”。服务用户重视获得健康教练支持，在整个方案中提供个性化指导，同时访问不同的应用程序功能以满足他们的需求（例如，教育内容、跟踪健康行为、团体支持）。服务使用者表示，自我监测、健康教练的反馈以及社交圈的支持有助于改变其健康行为。这使他们能够可视化他们的进展并提供问责制。服务用户强调，与这一数字行为改变方案相结合的人际接触如何改善了他们的体验和对方案的参与。数字健康干预措施可以考虑如何更好地纳入健康教练、朋友和家人的支持，以帮助用户改变行为。未来的数字卫生干预措施应考虑如何最好地利用非数字因素来促进行为改变。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.