Mid North Coast Local Health District, University of Newcastle, Coffs Harbour, Australia.
School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia.
Diabet Med. 2024 Aug;41(8):e15323. doi: 10.1111/dme.15323. Epub 2024 Jun 3.
To identify barriers and enablers that influence engagement in and acceptability of diabetes prevention programmes for people with pre-diabetes. The results will provide insights for developing strategies and recommendations to improve design and delivery of diabetes prevention programmes with enhanced engagement and acceptability for people with pre-diabetes.
This review used a critical realist approach to examine context and mechanisms of diabetes prevention programmes. Medline, Embase, PsycInfo, Cinahl, Web of Science, Scopus and Pre-Medline were searched for English language studies published between 2000 and 2023. A quality assessment was conducted using Joanna Briggs Institute critical appraisal tools.
A total of 90 papers met inclusion criteria. The included studies used a variety of quantitative and qualitative methodologies. Data extracted focused on barriers and enablers to engagement in and acceptability of diabetes prevention programmes, with seven key mechanisms identified. These included financial, environmental, personal, healthcare, social and cultural, demographic and programme mechanisms. Findings highlighted diverse factors that influenced engagement in preventive programmes and the importance of considering these factors when planning, developing and implementing future diabetes prevention programmes.
Mechanisms identified in this review can inform design and development of diabetes prevention programmes for people with pre-diabetes and provide guidance for healthcare professionals and policymakers. This will facilitate increased participation and engagement in preventive programmes, potentially reducing progression and/or incidence of pre-diabetes to type 2 diabetes and improving health outcomes.
确定影响糖尿病前期人群参与和接受糖尿病预防计划的障碍和促进因素。研究结果将为制定策略和建议提供参考，以提高糖尿病预防计划的设计和实施效果，增强糖尿病前期人群的参与度和接受度。
本研究采用批判现实主义方法，从 2000 年至 2023 年，对英文文献进行了 Medline、Embase、PsycInfo、Cinahl、Web of Science、Scopus 和 Pre-Medline 数据库检索，纳入评估糖尿病预防计划参与度和接受度的障碍和促进因素的研究。使用 Joanna Briggs 研究所的批判性评价工具对纳入研究进行质量评估。
共纳入 90 篇符合标准的研究。这些研究采用了多种定量和定性方法。提取的数据集中于糖尿病预防计划参与度和接受度的障碍和促进因素，确定了 7 个关键机制。这些机制包括财务、环境、个人、医疗保健、社会文化、人口和项目机制。研究结果强调了影响预防计划参与度的多种因素，提示在规划、开发和实施未来的糖尿病预防计划时应考虑这些因素。
本研究确定的机制可以为糖尿病前期人群的糖尿病预防计划设计和开发提供信息，并为医疗保健专业人员和政策制定者提供指导。这将促进预防计划的更多参与和投入，可能降低糖尿病前期向 2 型糖尿病的进展和/或发生率，改善健康结局。
