Health education and communication needs among primary care patients with prediabetes in Singapore: A mixed methods approach

Lim, Raymond Boon Tar; Wee, Wei Keong; For, Wei Chek; Ananthanarayanan, Jayalakshmy Aarthi; Soh, Ying Hua; Goh, Lynette Mei Lim; Tham, Dede Kam Tyng; Wong, Mee Lian

doi:10.1016/j.pcd.2019.08.008

Cited by 11 publications

(21 citation statements)

References 39 publications

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“…Another study noted that healthy eating and physical activity were the main preferred components for health education and communication for patients with prediabetes in Singapore [31]. A similar outcome was implicated in our study, but we also considered the components of sleep and stress for a more holistic view of healthy living.…”

Section: Comparisons With Existing Literaturesupporting

confidence: 77%

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Public Perceptions of Diabetes, Healthy Living, and Conversational Agents in Singapore: Needs Assessment (Preprint)

Car¹,

Dhinagaran²,

Sathish³

et al. 2021

Preprint

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BACKGROUND The incidence of chronic diseases such as type 2 diabetes is on the rise in countries worldwide, including Singapore. Health professional-delivered healthy lifestyle interventions have been shown to prevent type 2 diabetes. Yet ongoing personalised guidance from health professionals is not feasible or affordable at the population level. Novel digital interventions delivered using mobile technology such as conversational agents are a potential alternative for delivery of healthy lifestyle change behavioural interventions to the public. OBJECTIVE We explored Singaporeans’ perceptions on and experience of healthy living, diabetes and mobile health interventions (apps and conversational agents). This survey was done to help inform the design and development of a conversational agent focusing on healthy lifestyle change. METHODS This qualitative study was conducted over Aug and Sept 2019. 20 participants were recruited from relevant healthy living Facebook pages and groups. Semi-structured interviews were conducted in person or over the telephone using an interview guide. Interviews were transcribed and analysed in parallel by two researchers using Burnard’s method, a structured approach for thematic content analysis. RESULTS The collected data was organised into four main themes: (1) use of conversational agents, (2) ubiquity of smartphone applications, (3) understanding of diabetes and (4) barriers and facilitators to a healthy living in Singapore. Most participants used health-related mobile applications as well as conversational agents unrelated to healthcare. They provided diverse suggestions for future conversational agent-delivered interventions. Participants also highlighted several knowledge gaps in relation to diabetes and healthy living. In terms of barriers to healthy living, frequent dining out, high stress levels, lack of work-life balance and dearth of free time to engage in physical activity were mentioned. In contrast, discipline, pre-planning and sticking to a routine were important for enabling a healthy lifestyle. CONCLUSIONS Participants in our study commonly used mobile health interventions and provided important insights into their knowledge gaps and needs in relation to healthy lifestyle behaviour change. Future digital interventions like conversational agents focusing on healthy lifestyle and diabetes prevention should aim to address the barriers highlighted in our study and motivate individuals to adopt habits for healthy living.

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Section: Comparisons With Existing Literaturesupporting

confidence: 77%

“…A similar outcome was implicated in our study, but we also considered the components of sleep and stress for a more holistic view of healthy living. Other necessities for health communication were risk and prevention of diabetes [31]. These were also picked up in our qualitative analysis.…”

Section: Comparisons With Existing Literaturementioning

confidence: 99%

Public Perceptions of Diabetes, Healthy Living, and Conversational Agents in Singapore: Needs Assessment (Preprint)

Car¹,

Dhinagaran²,

Sathish³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Another study noted that healthy eating and physical activity were the main preferred components for health education and communication in patients with prediabetes in Singapore [ 31 ]. A similar outcome was implicated in our study, but we also considered the components of sleep and stress for a more holistic view of healthy living.…”

Section: Discussionmentioning

confidence: 99%

“…A similar outcome was implicated in our study, but we also considered the components of sleep and stress for a more holistic view of healthy living. Other necessities for health communication were risk and prevention of diabetes [ 31 ]. These were also included in the qualitative analysis.…”

Section: Discussionmentioning

confidence: 99%

Public Perceptions of Diabetes, Healthy Living, and Conversational Agents in Singapore: Needs Assessment

Dhinagaran¹,

Sathish²,

Kowatsch³

et al. 2021

JMIR Form Res

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Background The incidence of chronic diseases such as type 2 diabetes is increasing in countries worldwide, including Singapore. Health professional–delivered healthy lifestyle interventions have been shown to prevent type 2 diabetes. However, ongoing personalized guidance from health professionals is not feasible or affordable at the population level. Novel digital interventions delivered using mobile technology, such as conversational agents, are a potential alternative for the delivery of healthy lifestyle change behavioral interventions to the public. Objective We explored perceptions and experiences of Singaporeans on healthy living, diabetes, and mobile health (mHealth) interventions (apps and conversational agents). This study was conducted to help inform the design and development of a conversational agent focusing on healthy lifestyle changes. Methods This qualitative study was conducted in August and September 2019. A total of 20 participants were recruited from relevant healthy living Facebook pages and groups. Semistructured interviews were conducted in person or over the telephone using an interview guide. Interviews were transcribed and analyzed in parallel by 2 researchers using Burnard’s method, a structured approach for thematic content analysis. Results The collected data were organized into 4 main themes: use of conversational agents, ubiquity of smartphone apps, understanding of diabetes, and barriers and facilitators to a healthy living in Singapore. Most participants used health-related mobile apps as well as conversational agents unrelated to health care. They provided diverse suggestions for future conversational agent-delivered interventions. Participants also highlighted several knowledge gaps in relation to diabetes and healthy living. Regarding barriers to healthy living, participants mentioned frequent dining out, high stress levels, lack of work-life balance, and lack of free time to engage in physical activity. In contrast, discipline, preplanning, and sticking to a routine were important for enabling a healthy lifestyle. Conclusions Participants in this study commonly used mHealth interventions and provided important insights into their knowledge gaps and needs in relation to changes in healthy lifestyle behaviors. Future digital interventions such as conversational agents focusing on healthy lifestyle and diabetes prevention should aim to address the barriers highlighted in our study and motivate individuals to adopt healthy lifestyle behavior.

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“…Para dar cumplimiento con la promoción y prevención de enfermedades no transmisibles y de sus futuras complicaciones, los sistemas y programas de salud están en la obligación de brindar una estructuración completa de planes de educación, desde el momento en que los pacientes son diagnosticados, e incluso desde que se evidencien riesgos relacionados. Múltiples instancias por las que pasan los pacientes con diabetes, son puntos cruciales para lograr la adquisición de aspectos específicos para un conocimiento amplio y un proceder justificado en lo útil y efectivo [9,10].…”

Section: Introductionunclassified

Factores que determinan el déficit de educación terapéutica en diabetes mellitus tipo 2

et al. 2021

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Introducción. Entre las enfermedades metabólicas crónicas de mayor prevalencia se encuentra la diabetes, con un alto impacto poblacional y hospitalario, y con tendencia a duplicar sus cifras en los próximos años. Se caracteriza por múltiples complicaciones que aceleran el deterioro de la calidad de vida cuando no hay un manejo apropiado. En los últimos años se ha evidenciado que solo la terapia farmacológica no garantiza un buen control, por lo tanto, requiere una intervención integral de las múltiples falencias, que incluya una adecuada educación al paciente sobre su enfermedad para el autocuidado, entre otros factores. El objetivo de este estudio fue determinar qué factores se relacionan con la falta de educación en pacientes con diagnóstico de diabetes mellitus tipo 2. Metodología. Se realizó una búsqueda exhaustiva por medio de la literatura disponible en PubMed, ScienceDirect, SciELO, Clinical Key, Primary Care Diabetes Europe (PCDE), estadísticas publicadas por la OMS y guías de la Asociación Americana de Diabetes (ADA). Se seleccionaron un total de 50 artículos que cumplieron con los criterios de inclusión. Resultados. Se encontraron múltiples factores que determinan el aprendizaje y autocuidado, entre ellos, la disponibilidad de tiempo en consulta, la relación médicopaciente, la inaccesibilidad del paciente a los centros de salud, aspectos económicos, y la importancia del compromiso personal, familiar y social. Conclusión. El compromiso con el proceso educativo y la estructuración del manejo integral de los pacientes con diabetes mellitus son fundamentales para disminuir el impacto de las complicaciones y la cronicidad de las mismas, al igual que resultan relevantes para mitigar los costos desproporcionados que surgen de la necesidad de atención.

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Health education and communication needs among primary care patients with prediabetes in Singapore: A mixed methods approach

Cited by 11 publications

References 39 publications

Public Perceptions of Diabetes, Healthy Living, and Conversational Agents in Singapore: Needs Assessment (Preprint)

Public Perceptions of Diabetes, Healthy Living, and Conversational Agents in Singapore: Needs Assessment (Preprint)

Public Perceptions of Diabetes, Healthy Living, and Conversational Agents in Singapore: Needs Assessment

Factores que determinan el déficit de educación terapéutica en diabetes mellitus tipo 2

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