Precision Health Future Science Platform, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia.
Public Health and Wellbeing Research Group, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia.
PLoS One. 2021 Aug 5;16(8):e0255625. doi: 10.1371/journal.pone.0255625. eCollection 2021.
This study aims to identify critically important features of digital type two diabetes mellitus (T2DM) prevention interventions.
A stakeholder mapping exercise was undertaken to identify key end-user and professional stakeholders, followed by a three-round Delphi procedure to generate and evaluate evidence statements related to the critical elements of digital T2DM prevention interventions in terms of product (intervention), price (funding models/financial cost), place (distribution/delivery channels), and promotion (target audiences).
End-user (n = 38) and professional (n = 38) stakeholders including patients, dietitians, credentialed diabetes educators, nurses, medical doctors, research scientists, and exercise physiologists participated in the Delphi study. Fifty-two critical intervention characteristics were identified. Future interventions should address diet, physical activity, mental health (e.g. stress, diabetes-related distress), and functional health literacy, while advancing behaviour change support. Programs should be delivered digitally or used multiple delivery modes, target a range of population subgroups including children, and be based on collaborative efforts between national and local and government and non-government funded organisations.
Our findings highlight strong support for digital health to address T2DM in Australia and identify future directions for T2DM prevention interventions. The study also demonstrates the feasibility and value of stakeholder-led intervention development processes.
本研究旨在确定数字式 2 型糖尿病（T2DM）预防干预措施的关键重要特征。
进行了利益相关者映射研究，以确定关键的最终用户和专业利益相关者，然后进行了三轮 Delphi 程序，以针对数字 T2DM 预防干预措施的关键要素生成和评估证据陈述，这些要素涉及产品（干预措施）、价格（资金模型/财务成本）、地点（分配/交付渠道）和推广（目标受众）。
最终用户（n=38）和专业利益相关者（n=38），包括患者、营养师、认证的糖尿病教育者、护士、医生、研究科学家和运动生理学家，参与了 Delphi 研究。确定了 52 个关键干预特征。未来的干预措施应针对饮食、身体活动、心理健康（如压力、与糖尿病相关的痛苦）和功能健康素养，同时推进行为改变支持。方案应通过数字化方式提供或使用多种交付模式，针对包括儿童在内的一系列人群亚组，并且基于国家和地方以及政府和非政府资助组织之间的合作努力。
我们的研究结果强烈支持澳大利亚利用数字健康来解决 T2DM 问题，并为 T2DM 预防干预措施确定了未来的方向。该研究还证明了利益相关者主导的干预措施开发过程的可行性和价值。
