Haseldine Clair, O'Donoghue Gráinne, Kearney Patricia M, Riordan Fiona, Humphreys Margaret, Kirby Liz, McHugh Sheena M
Department of Public Health, University College Cork, Cork, County Cork, Ireland.
School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Leinster, Ireland.
HRB Open Res. 2025 Mar 6;6:61. doi: 10.12688/hrbopenres.13807.2. eCollection 2023.
Diabetes prevention programmes (DPPs) are being implemented around the world to tackle the rise in type 2 diabetes. In 2021/22, the Health Service Executive(HSE) in Ireland piloted a fully online national diabetes prevention programme(NDPP). Characteristics and factors affecting participation may be different among people attending online DPPs compared to face-to-face programmes. The aim of this study was to describe the demographic, psychosocial and health characteristics of participants in the pilot of the online NDPP in Ireland.
A survey from the evaluation of the English NDPP was adapted for the Irish context with Patient and Public Involvement (PPI) input. The survey was sent (between April and June 2022) to all individuals who attended the initial assessment of the pilot NDPP (n=73). It contained questions on health status, co-morbidities, motivation to improve health, quality of life, self-efficacy, beliefs about the risk of diabetes, participation(e.g. recollection and understanding of invite, number of sessions attended), as well as demographic information.
Response rate was 30.5% (n=22). Mean age of responders was 62 years (range 36-82 years) and over half were men (57.1%, n=12). The majority (81%, n=17) had attended 6 or more of the 14 sessions. Most (90.5% n=19) reported having family members or acquaintances with diabetes, had positive views of their current health status and high quality of life scores (71.4%, n= 15). Mental health scores were slightly higher than the national average. Over half (57.2%, n=12) were confident or very confident about participating in an online DPP. Almost all (95.2%, n=20) believed it was important to manage their risk of type 2 diabetes.
Participants in the online pilot NDPP had positive views of their general health and positive psychosocial characteristics affecting their decision to participate. These beliefs may be modifiable intervention targets to encourage participation among non-attenders in future programmes.
世界各地都在实施糖尿病预防项目（DPPs），以应对2型糖尿病发病率的上升。2021/22年，爱尔兰卫生服务执行局（HSE）试点了一项全在线的国家糖尿病预防项目（NDPP）。与面对面项目相比，参加在线DPPs的人群的特征和影响参与的因素可能有所不同。本研究的目的是描述爱尔兰在线NDPP试点参与者的人口统计学、心理社会和健康特征。
根据患者和公众参与（PPI）的意见，对英语NDPP评估中的一项调查进行了调整，以适用于爱尔兰的情况。该调查于2022年4月至6月期间发送给所有参加试点NDPP初始评估的个人（n = 73）。它包含有关健康状况、合并症、改善健康的动机、生活质量、自我效能、对糖尿病风险的看法、参与情况（如对邀请的回忆和理解、参加的课程数量）以及人口统计学信息的问题。
回复率为30.5%（n = 22）。回复者的平均年龄为62岁（范围36 - 82岁），超过一半是男性（5·1%，n = 12）。大多数（81%，n = 17）参加了14节课程中的6节或更多。大多数（90.5%，n = 19）报告有家庭成员或熟人患有糖尿病，对自己目前的健康状况持积极看法，生活质量得分较高（71.4%，n = 15）。心理健康得分略高于全国平均水平。超过一半（57.2%，n = 12）对参加在线DPP有信心或非常有信心。几乎所有（95.2%，n = 20）都认为管理2型糖尿病风险很重要。
在线试点NDPP的参与者对他们的总体健康状况持积极看法，并且具有影响他们参与决定的积极心理社会特征。这些信念可能是可改变的干预目标，以鼓励未来项目中的非参与者参与。
