Haseldine Clair, O'Donoghue Gráinne, Kearney Patricia M, Riordan Fiona, Cotterill Sarah, McHugh Sheena
School of Public Health, University College Cork, Cork, Ireland.
School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
HRB Open Res. 2024 Mar 28;6:23. doi: 10.12688/hrbopenres.13702.2. eCollection 2023.
Diabetes is a growing global health problem. International guidelines recommend identification, screening, and referral to behavioural programmes for those at high risk of developing type 2 diabetes. Diabetes prevention programmes (DPPs) can prevent type 2 diabetes in those at high risk, however many eligible participants are not referred to these programmes. Healthcare workers (HCWs) are pivotal to the referral and recruitment processes. This study aims to identify, appraise and synthesise the evidence on barriers and facilitators to referral and recruitment to DPPs from the perspective of HCWs.
A "best fit" framework synthesis method will synthesise qualitative, quantitative, and mixed methods evidence on factors that affect HCWs referral and recruitment to DPPs, with the Theoretical Domains Framework (TDF) as the framework. MEDLINE, EMBASE, CINAHL, PsychINFO, Web of Science and Scopus will be searched for primary studies published in English. Year of publication will be restricted to the last 26 years (1997-2023). Quality will be assessed using the Mixed Methods Appraisal Tool. A mix of deductive coding using the TDF and inductive coding of data that does not fit the TDF will be synthesised into themes representing the whole dataset. The relationships between the final set of themes will be explored to create a new model to understand HCWs' perspectives on referral and recruitment to DPPs. Sensitivity analysis will be carried out on this conceptual model. Confidence in the synthesised findings will be assessed using the GRADE-CERQual approach. One author will screen, extract, appraise the literature while a second author will independently verify a 20% sample at each stage.
Participation in DPPs is key for programme impact. HCWs typically identify those at risk and refer them to DPPs. Understanding HCWs' perspectives on the barriers and facilitators to referral and recruitment will inform future implementation of DPPs.
糖尿病是一个日益严重的全球健康问题。国际指南建议对有发展为2型糖尿病高风险的人群进行识别、筛查，并转介至行为干预项目。糖尿病预防项目（DPPs）可以预防高风险人群患2型糖尿病，然而许多符合条件的参与者并未被转介至这些项目。医护人员（HCWs）在转介和招募过程中起着关键作用。本研究旨在从医护人员的角度识别、评估和综合关于糖尿病预防项目转介和招募的障碍及促进因素的证据。
采用“最佳匹配”框架综合法，以理论领域框架（TDF）为框架，综合定性、定量和混合方法的证据来分析影响医护人员将患者转介至糖尿病预防项目并招募其参与的因素。将检索MEDLINE、EMBASE、CINAHL、PsychINFO、Web of Science和Scopus数据库，查找以英文发表的原始研究。发表年份限制在过去26年（1997 - 2023年）。将使用混合方法评估工具进行质量评估。将使用TDF进行的演绎编码与不符合TDF的数据的归纳编码相结合，归纳为代表整个数据集的主题。将探索最终主题集之间的关系，以创建一个新模型，来理解医护人员对糖尿病预防项目转介和招募的看法。将对这个概念模型进行敏感性分析。将使用GRADE - CERQual方法评估综合研究结果的可信度。由一位作者进行文献筛选、提取和评估，另一位作者将在每个阶段独立核实20%的样本。
参与糖尿病预防项目对于项目成效至关重要。医护人员通常负责识别有风险的人群并将他们转介至糖尿病预防项目。了解医护人员对转介和招募的障碍及促进因素的看法，将为未来糖尿病预防项目的实施提供参考。
