Identifying critical features of type two diabetes prevention interventions: A Delphi study with key stakeholders

Ryan, Jillian; Wiggins, Bonnie; Edney, Sarah; Brinkworth, Grant D.; Luscombe-March, Natalie D.; Carson‐Chahhoud, Kristin; Taylor, Pennie; Haveman‐Nies, Annemien; Cox, David N.

doi:10.1371/journal.pone.0255625

Cited by 8 publications

(9 citation statements)

References 44 publications

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“…Inclusion and evaluation of these persuasive design elements in future digital health interventions warrant further investigation. Findings from the co-design workshops add support to those of the formative Delphi study [24]. For example, in the Delphi study, end-users identified financial strain as a barrier to healthy habits.…”

Section: Comparison With the Literaturementioning

confidence: 60%

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Co-design of a digital dietary intervention for adults at risk of type 2 diabetes

et al. 2021

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Background Co-design has the potential to create interventions that lead to sustainable health behaviour change. Evidence suggests application of co-design in various health domains has been growing; however, few public-facing digital interventions have been co-designed to specifically address the needs of adults at risk of Type 2 diabetes (T2D). This study aims to: (1) co-design, with key stakeholders, a digital dietary intervention to promote health behaviour change among adults at risk of T2D, and (2) evaluate the co-design process involved in developing the intervention prototype. Methods The co-design study was based on a partnership between nutrition researchers and designers experienced in co-design for health. Potential end-users (patients and health professionals) were recruited from an earlier stage of the study. Three online workshops were conducted to develop and review prototypes of an app for people at risk of T2D. Themes were inductively defined and aligned with persuasive design (PD) principles used to inform ideal app features and characteristics. Results Participants were predominantly female (range 58–100%), aged 38 to 63 years (median age = 59 years), consisting of a total of 20 end-users and four experts. Participants expressed the need for information from credible sources and to provide effective strategies to overcome social and environmental influences on eating behaviours. Preferred app features included tailoring to the individual’s unique characteristics, ability to track and monitor dietary behaviour, and tools to facilitate controlled social connectivity. Relevant persuasive design principles included social support, reduction (reducing effort needed to reach target behaviour), tunnelling (guiding users through a process that leads to target behaviour), praise, rewards, and self-monitoring. The most preferred prototype was the Choices concept, which focusses on the users’ journey of health behaviour change and recognises progress, successes, and failures in a supportive and encouraging manner. The workshops were rated successful, and feedback was positive. Conclusions The study’s co-design methods were successful in developing a functionally appealing and relevant digital health promotion intervention. Continuous engagement with stakeholders such as designers and end-users is needed to further develop a working prototype for testing.

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Section: Comparison With the Literaturementioning

confidence: 60%

“…The co-design process in this study is built upon the findings of a Delphi study which explored the health needs, contexts and experiences of key stakeholders with regard to diabetes prevention [24]. The Delphi study therefore provided a baseline from which the co-design process commenced.…”

Section: This Studymentioning

confidence: 99%

Co-design of a digital dietary intervention for adults at risk of type 2 diabetes

et al. 2021

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“…To optimize engagement with MHA it is crucial to leverage technical capabilities 19 , 20 . The framework of the persuasive system design (PSD) model encompasses various technical principles to optimize human–machine interaction to support users in achieving their personal target behavior, thereby influencing their attitudes and behavior 21 , 22 .…”

Section: Introductionmentioning

confidence: 99%

Standardized evaluation of the quality and persuasiveness of mobile health applications for diabetes management

Geirhos

Stephan

Wehrle

et al. 2022

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This study evaluates diabetes self-management mobile health applications available from European app stores with respect to quality, concordance with recommended self-management tasks and implementation of persuasive system design principles. The European Play Store and Apple App Store were systematically searched and relevant apps were tested. Two raters independently assessed app quality using the Mobile Application Rating Scale and conducted a content analysis of provided persuasive system design principles and self-management tasks. A total of 2,269 mobile health applications were identified and 120 could be included in the evaluation. The overall quality was rated as moderate M = 3.20 (SD = 0.39, min = 2.31, max = 4.62), with shortcomings in the subcategories of engagement (M = 2.80, SD = 0.67) and information quality (M = 2.26, SD = 0.48). Scientific evidence is available for 8% of the apps. The reviewed apps implemented a median of three persuasive system design principles (range 0–15) and targeted a median of 4.5 (range 1–8) self-management tasks, however, with a lack of information about psychosocial coping strategies. Most available diabetes self-management apps lack a scientific evidence base. Persuasive system design features are underrepresented and may form a promising tool to improve app quality. Furthermore, the interaction of physical and behavioral health should be improved in existing diabetes self-management mobile health applications.

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“…In light of the COVID-19 pandemic, actions to promote healthy ageing have become even more pressing. To address this challenge, a holistic approach that recognises the interconnectedness of NCDs and mental health disorders is essential 13 40 41. Using mobile technologies, holistic interventions that integrate physical activity, diet and mental health can be implemented on a large scale.…”

Section: Discussionmentioning

confidence: 99%

Holistic mHealth interventions for the promotion of healthy ageing: protocol for a systematic review

et al. 2023

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IntroductionMaintaining physical and mental health is essential for healthy ageing. It can be supported by modifying lifestyle factors such as physical activity and diet. Poor mental health, in turn, contributes to the opposing effect. The promotion of healthy ageing may therefore benefit from holistic interventions integrating physical activity, diet and mental health. These interventions can be scaled up to the population level by using mobile technologies. However, systematic evidence regarding the characteristics and effectiveness of such holistic mHealth interventions remains limited. This paper presents a protocol for a systematic review that aims to provide an overview of the current state of the evidence for holistic mHealth interventions, including their characteristics and effects on behavioural and health outcomes in general adult populations .Methods and analysisWe will conduct a comprehensive search for randomised controlled trials and non-randomised studies of interventions published between January 2011 and April 2022 in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, Scopus, China National Knowledge Infrastructure and Google Scholar (first 200 records). Eligible studies will be mHealth interventions targeting general adult populations with content on physical activity, diet and mental health. We will extract information on all relevant behavioural and health outcomes, as well as those related to intervention feasibility. Screening and data extraction processes will be carried out independently by two reviewers. Cochrane risk-of-bias tools will be used to assess risk of bias. We will provide a narrative overview of the findings from eligible studies. With sufficient data, a meta-analysis will be conducted.Ethics and disseminationEthical approval is not required because this study is a systematic review based on published data. We intend to publish our findings in a peer-reviewed journal and present the study at international conferences.PROSPERO registration numberCRD42022315166.

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Identifying critical features of type two diabetes prevention interventions: A Delphi study with key stakeholders

Cited by 8 publications

References 44 publications

Co-design of a digital dietary intervention for adults at risk of type 2 diabetes

Co-design of a digital dietary intervention for adults at risk of type 2 diabetes

Standardized evaluation of the quality and persuasiveness of mobile health applications for diabetes management

Holistic mHealth interventions for the promotion of healthy ageing: protocol for a systematic review

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