Domains from the health belief model predict enrollment in the National Diabetes Prevention Program among insured adults with prediabetes

Influences on Patient Uptake of and Engagement With the National Health Service Digital Diabetes Prevention Programme: Qualitative Interview Study

“…Furthermore, for people to comply with participatory preventive interventions, they need to perceive both the risk of the condition in question and the potential benefit of the intervention. The HBM has been widely applied to studies on prediabetes [45] and the development and evaluation of DHIs [46]. The topic guide included the following 6 domains of the HBM: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-e cacy, and cues to action (Multimedia Appendix 1).…”

“…Those who had taken up the NHS-digital-DPP reported being unclear about the program's aims and content, because this had not been communicated adequately at the point of referral. A recent study examining the US National diabetes prevention program also found that cues to action were determinants of enrollment, specifically that clear information about the diagnosis of prediabetes and decision support for joining a lifestyle intervention, especially from a trusted health care provider, were critical [45]. However, improving communication around referrals by HCPs may be exacting.…”

Uptake, retention, and outcomes of the National Diabetes Prevention Program by enrollee characteristics and program type

“…Individuals were excluded if they had histories of Type 1 or Type 2 diabetes mellitus. Individuals with prediabetes were identified and encouraged to enroll in a NDPP as previously described [ 5 , 6 ]. This study focused on the 776 people with prediabetes and overweight or obesity who enrolled in a NDPP between August 2015 and July 2019 and attended at least one session.…”

“…We used data from the health plan, including data collected from NDPP providers, and data from surveys of enrollees to describe the characteristics of adults with prediabetes who enrolled in a NDPP [ 5 , 6 ]. Demographic (age, sex, race, and zip code) and clinical variables (body mass index (BMI), blood pressure, lipids, HbA1c, and medical history) were obtained from the health plan.…”

“…We also surveyed NDPP enrollees at baseline, 1 year, and 2 years [ 6 , 11 ]. We mailed surveys to all 776 enrollees and received 532 completed surveys (69% crude response rate).…”