Pippa Higgs, Rhiannon E Hawkes, Lisa M Miles, Charlotte Dack, David P French
{"title":"Service user experiences of a nationally implemented diabetes prevention programme in England: a qualitative interview study.","authors":"Pippa Higgs, Rhiannon E Hawkes, Lisa M Miles, Charlotte Dack, David P French","doi":"10.1080/21642850.2026.2645889","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Type 2 diabetes (T2D) is a chronic condition linked to obesity that affects millions of people within England. Behaviour change interventions implemented worldwide targeting weight loss have been effective in preventing T2D. In response to this, the NHS Diabetes Prevention Programme (NHS-DPP) was introduced in 2016, and was the first initiative in England to implement a diabetes prevention programme at scale. The current study investigates service users' experiences of attending in-person sessions of the NHS-DPP when the programme was first rolled out.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with service users (<i>n</i> = 20) after they completed the programme. Interviews were transcribed verbatim and analysed using a framework approach to thematic analysis.</p><p><strong>Results: </strong>Three themes were produced. Mindset Shift: whilst the participants did not always maintain their behaviour changes, they experienced a change in mindset towards T2D and their current behaviours. Content tailoring: the participants described how the lack of content tailoring towards culture and the starting weight of participants within the programme negatively impacted their experiences. Social experiences: participants reported that the programme's group format and wider social support from their friends and family were important for engaging with and maintaining behaviour change.</p><p><strong>Discussion: </strong>The current study identifies how diabetes prevention programmes can promote behaviour changes and mindset shifts to support diabetes prevention. However, greater content tailoring, particularly concerning culturally informed food preferences and encouraging social support for participants, may improve the long-term effectiveness and engagement of diabetes prevention programmes.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2645889"},"PeriodicalIF":2.7000,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13003863/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology and Behavioral Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/21642850.2026.2645889","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Type 2 diabetes (T2D) is a chronic condition linked to obesity that affects millions of people within England. Behaviour change interventions implemented worldwide targeting weight loss have been effective in preventing T2D. In response to this, the NHS Diabetes Prevention Programme (NHS-DPP) was introduced in 2016, and was the first initiative in England to implement a diabetes prevention programme at scale. The current study investigates service users' experiences of attending in-person sessions of the NHS-DPP when the programme was first rolled out.
Methods: Semi-structured interviews were conducted with service users (n = 20) after they completed the programme. Interviews were transcribed verbatim and analysed using a framework approach to thematic analysis.
Results: Three themes were produced. Mindset Shift: whilst the participants did not always maintain their behaviour changes, they experienced a change in mindset towards T2D and their current behaviours. Content tailoring: the participants described how the lack of content tailoring towards culture and the starting weight of participants within the programme negatively impacted their experiences. Social experiences: participants reported that the programme's group format and wider social support from their friends and family were important for engaging with and maintaining behaviour change.
Discussion: The current study identifies how diabetes prevention programmes can promote behaviour changes and mindset shifts to support diabetes prevention. However, greater content tailoring, particularly concerning culturally informed food preferences and encouraging social support for participants, may improve the long-term effectiveness and engagement of diabetes prevention programmes.
期刊介绍：
Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
