A diagnosis of prediabetes when combined with lifestyle advice and support is considered helpful rather than a negative label by a demographically diverse group: A qualitative study

Coppell, Kirsten J; Abel, Sally; Whitehead, Lisa; Tangiora, Angeline; Spedding, Terrie; Tipene‐Leach, David

doi:10.1016/j.pcd.2021.10.003

Cited by 5 publications

(8 citation statements)

References 34 publications

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“…At a system level, a social marketing campaign targeted at primary care can be considered to increase awareness of programs among healthcare providers and patients (33,34). While teachable moments within the context of a diagnosis can present valuable opportunities for healthcare professionals to introduce a diabetes prevention program, findings presented here and others showed that at-risk individuals perceived different degrees of severity and that family experiences with diabetes could influence risk perceptions (35,36). Therefore, communication could be tailored to personal experience to maximize the benefits of teachable moment.…”

Section: Discussionmentioning

confidence: 81%

Facilitators and Barriers to Uptake of Community-Based Diabetes Prevention Program Among Multi-Ethnic Asian Patients With Prediabetes

et al. 2022

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ObjectiveThis study aimed to identify facilitators and barriers to the uptake of a community-based diabetes prevention program (DPP) from the perspectives of decliners with prediabetes in a multi-ethnic Asian community.MethodsSemi-structured interviews were conducted with 29 individuals with prediabetes who declined participation in a large community-based diabetes prevention program in Singapore. Thematic analysis was undertaken to identify themes, which were subsequently mapped onto the Capacity-Opportunity-Motivation and Behavior model (COM-B).ResultsWe identified 16 key themes under three COM-B domains. Health status at the time of invitation, perceived ability of self-management, understanding of prediabetes condition and/or the program intention (Capability) were important determinants. Family commitment had the strong potential to enable or hinder physical and social Opportunity related to participation. Many participants desired involvement of physician as part of program invitation and component. Fear of exacerbation coupled with an automatic aversion for suffering influenced Motivation for participation.ConclusionIdentifying facilitators and barriers embedded in the COM-B will assist systematic program modifications to increase participation of individuals with prediabetes. How information about modifiable risk factors is communicated by physicians at the point of diagnosis and program introduction is key to participation. Co-locating programs with family activity, development of mHealth, readiness assessment, and tailored explanation of program purpose may increase participation. These findings will be used to guide future national interventions in the community to ensure successful implementation.

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Section: Discussionmentioning

confidence: 81%

Facilitators and Barriers to Uptake of Community-Based Diabetes Prevention Program Among Multi-Ethnic Asian Patients With Prediabetes

et al. 2022

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“…-Models based on community/whānau interventions may serve the needs of high-risk population groups better than individualfocused care -Ensure programmes are designed and delivered in partnership with the populations most adversely affected by T2DM • Models of successful diabetes prevention delivered in PC settings also have a place for some groups 39,52,53 • Clinical guidelines ○ Current 'one-size-fits-all' adult prediabetes guidelines do not reflect what is known about the variable health trajectories of those with prediabetes and create unnecessary burdens on PC service delivery for little gain…”

Section: Policy and Resourcingmentioning

confidence: 99%

It is time for a more targeted approach to prediabetes in primary care in Aotearoa New Zealand

Barthow

Pullon

McKinlay

et al. 2022

J. Prim. Health Care

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Type 2 diabetes (T2DM), its related morbidities and entrenched diabetes-related inequities pose significant challenges for health care delivery systems in Aotearoa New Zealand (NZ). Primary care services undertake the majority of diabetes prevention work by initially detecting and managing those with prediabetes. In this viewpoint, we present available NZ data to highlight NZ trends in prediabetes and consider the current NZ clinical guidelines and the prediabetes care pathway. Multiple areas for improvement are identified to optimise diabetes prevention, potentially reduce T2DM inequities, and sustain more effective prediabetes management in primary care in NZ.

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“…Globally, qualitative studies have investigated perspectives on prediabetes education intervention among different stakeholders, including user groups [ 27 , 28 , 29 ]. There are also qualitative studies exploring perspectives of individuals with prediabetes making dietary changes and physical activity changes following the diagnosis of prediabetes and participation in lifestyle intervention programs [ 30 , 31 , 32 , 33 , 34 , 35 ]. These studies have revealed facilitators and barriers for lifestyle changes among people with prediabetes in different parts of the world [ 30 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal

Shakya

Bajracharya

Skovlund

et al. 2023

IJERPH

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Diabetes can be prevented through lifestyle modification in the prediabetic phase. A group-based lifestyle intervention called ‘Diabetes Prevention Education Program’ (DiPEP) was tested recently in Nepal. The present study aimed to explore experiences of making lifestyle changes among people with prediabetes participating in the DiPEP. This qualitative study, with semi-structured interviews of 20 participants, was conducted 4–7 months following DiPEP intervention. Data analysis was performed by thematic analysis. The results included four themes, understanding that diabetes could be prevented, lifestyle changes made, hurdles to overcome, and experiencing benefits leading to sustained change. Some participants said they felt relieved to know that they had a chance to prevent diabetes. The participants talked mostly about making changes in diet (reducing carbohydrate intake) and physical activity (starting exercises). Obstacles mentioned included a lack of motivation and a lack of family support to implement changes. Experiencing benefits such as weight loss and reduced blood sugar levels were reported to lead them to maintain the changes they had made. Understanding that diabetes could be prevented was a key motivator for implementing changes. The benefits and hurdles experienced by the participants of the present study can be taken into consideration while designing lifestyle intervention programs in similar settings.

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A diagnosis of prediabetes when combined with lifestyle advice and support is considered helpful rather than a negative label by a demographically diverse group: A qualitative study

Cited by 5 publications

References 34 publications

Facilitators and Barriers to Uptake of Community-Based Diabetes Prevention Program Among Multi-Ethnic Asian Patients With Prediabetes

Facilitators and Barriers to Uptake of Community-Based Diabetes Prevention Program Among Multi-Ethnic Asian Patients With Prediabetes

It is time for a more targeted approach to prediabetes in primary care in Aotearoa New Zealand

How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal

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