Health Innovation Network South London, London, UK
Health Innovation Network South London, London, UK.
BMJ Open. 2024 Oct 26;14(10):e085847. doi: 10.1136/bmjopen-2024-085847.
To assess the feasibility and acceptability of delivering Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) Online.
HEAL-D Online-a 7-week culturally tailored type 2 diabetes educational programme delivered using online platform.
Programme delivered by a London NHS trust, with patients referred from primary care healthcare professionals via a central booking system.
53 HEAL-D service users completed a postcourse questionnaire, and 14 service users and 7 service delivery staff participated in interviews.
Mixed methods service evaluation.
Service user engagement, acceptability and perceived patient benefit assessed using service activity data. Feasibility and acceptability of HEAL-D Online, using semi-structured interviews to explore the views and experiences of service users and service delivery staff.
Service activity data showed that initial uptake of HEAL-D Online was good (62% attendance) with a high adherence to the programme (77% completion). A high fidelity (94%) was observed, and qualitative findings showed that staff and service users were satisfied with all aspects of course delivery. Both service activity and qualitative data indicated that attendees felt more confident in controlling their diet and managing their diabetes post-HEAL-D Online.
This evaluation demonstrates the feasibility of delivering HEAL-D using an online platform, with its ability to achieve similar goals compared with its face-to-face counterpart. Challenges were identified around the identification, recruitment and referral of eligible patients into the programme, which need to be addressed for successful implementation on a wider scale.
评估在线提供“糖尿病的健康饮食与积极生活方式（HEAL-D）”计划的可行性和可接受性。
HEAL-D Online-一种使用在线平台提供的为期 7 周的文化定制 2 型糖尿病教育计划。
该计划由伦敦国民保健服务信托基金提供，患者通过中央预约系统由初级保健医疗保健专业人员转介。
53 名 HEAL-D 服务用户完成了课后问卷，14 名服务用户和 7 名服务提供人员参加了访谈。
混合方法服务评估。
使用服务活动数据评估服务用户的参与度、可接受性和感知的患者获益。使用半结构化访谈探讨服务用户和服务提供人员的观点和经验，评估 HEAL-D Online 的可行性和可接受性。
服务活动数据显示，HEAL-D Online 的初始参与度良好（62%的出勤率），对该计划的依从性较高（77%的完成率）。观察到高度的保真度（94%），定性研究结果表明，工作人员和服务用户对课程提供的各个方面都感到满意。服务活动和定性数据均表明，参与者在控制饮食和管理糖尿病方面感到更有信心。
该评估表明，使用在线平台提供 HEAL-D 是可行的，其能够实现与面对面课程类似的目标。已经确定了在计划中识别、招募和转介合格患者方面的挑战，需要解决这些挑战，以便在更广泛的范围内成功实施。
