Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore City, Singapore.
Advanced Practice Nurse, National University Hospital, National University Health System, Singapore City, Singapore.
J Clin Nurs. 2023 Sep;32(17-18):5562-5578. doi: 10.1111/jocn.16649. Epub 2023 Feb 12.
As rising global prevalence of diabetes burdens an overstrained healthcare system, it would be prudent to employ primary prevention strategies. This review aims to detail characteristics of technology-enabled diabetes prevention programs (t-DPP) and the technology acceptance amongst prediabetic individuals.
A scoping review.
Summative and direct content analysis.
Seven electronic databases-PubMed, Cochrane, Embase, CINAHL, Scopus, PsycINFO and Web of Science-were searched from inception till 9 June 2022 for primary studies conducted on t-DPP. Initial search identified 2412 unique articles. Removal of duplicates and irrelevant articles resulted in 58 full text articles screened and 17 articles meeting the eligibility criteria. There was no limitation to study type or year of publication, but language was limited to English.
Common t-DPP characteristics include physical activity (n = 17), diet control (n = 16), coaching (n = 12), social support (n = 9) and skills acquisition (n = 12). Technological acceptance of t-DPPs were generally positive as participants found them useful (n = 5) and easy to use (n = 4), with majority of the participants interested (n = 5) and engaging well with it (n = 13). However, personal-, design- and technological-level factors were found to negatively influence t-DPPs acceptance.
This review reported a generally positive technological acceptance. The result encourages remote delivery of diabetes prevention programs, offering researchers a guide to t-DPP development. However, it also highlights the need for integration of behavioural change theories and socio-cultural considerations, with gaps in knowledge amongst men and young adults.
The success of t-DPP can reinforce clinical advice and sustain health behaviours advocated by nurses. Involvement of diabetes-trained nurses would enable continual risk assessment, monitoring and timely intervention to prevent diabetes and potential complications.
PRISMA-ScR checklist.
随着全球糖尿病患病率的上升给不堪重负的医疗保健系统带来负担，采用初级预防策略将是谨慎的做法。本综述旨在详细描述基于技术的糖尿病预防计划（t-DPP）的特点以及糖尿病前期个体对技术的接受程度。
范围综述。
总结性和直接内容分析。
从 2022 年 6 月 9 日开始，在 PubMed、Cochrane、Embase、CINAHL、Scopus、PsycINFO 和 Web of Science 这七个电子数据库中搜索了关于 t-DPP 的原始研究。初始搜索确定了 2412 篇独特的文章。去除重复项和不相关的文章后，筛选出 58 篇全文文章，其中 17 篇符合入选标准。研究类型或发表年份没有限制，但语言仅限于英语。
常见的 t-DPP 特征包括身体活动（n=17）、饮食控制（n=16）、辅导（n=12）、社会支持（n=9）和技能获取（n=12）。t-DPP 的技术接受度通常是积极的，因为参与者认为它们有用（n=5）且易于使用（n=4），大多数参与者感兴趣（n=5）并与之很好地互动（n=13）。然而，个人、设计和技术层面的因素被发现会对 t-DPP 的接受产生负面影响。
本综述报告了一种普遍积极的技术接受度。这一结果鼓励远程提供糖尿病预防计划，为研究人员提供了 t-DPP 开发的指南。然而，它也强调了需要整合行为改变理论和社会文化考虑因素，以及在男性和年轻成年人中存在知识差距。
t-DPP 的成功可以加强护士提供的临床建议，并维持所倡导的健康行为。具有糖尿病专业知识的护士的参与将能够持续进行风险评估、监测和及时干预，以预防糖尿病和潜在并发症。
PRISMA-ScR 清单。
