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

Authors

Jillian C. Ryan, Edith Cowan UniversityFollow
Bonnie Wiggins
Sarah Edney
Grant D. Brinkworth
Natalie D. Luscombe-March
Kristin V. Carson-Chahhoud
Pennie J. Taylor
Annemien A. Haveman-Nies
David N. Cox

Document Type

Journal Article

Publication Title

PLoS One

Publisher

PLOS

School

School of Medical and Health Sciences

RAS ID

43076

Funders

CSIRO

Comments

Ryan, J. C., Wiggins, B., Edney, S., Brinkworth, G. D., Luscombe-March, N. D., Carson-Chahhoud, K. V., . . . Cox, D. N. (2021). Identifying critical features of type two diabetes prevention interventions: A Delphi study with key stakeholders. PLOS ONE, 16(8), article e0255625. https://doi.org/10.1371/journal.pone.0255625

Abstract

Aims This study aims to identify critically important features of digital type two diabetes mellitus (T2DM) prevention interventions. Methods A stakeholder mapping exercise was undertaken to identify key end-user and professional stakeholders, followed by a three-round Delphi procedure to generate and evaluate evidence statements related to the critical elements of digital T2DM prevention interventions in terms of product (intervention), price (funding models/financial cost), place (distribution/delivery channels), and promotion (target audiences). Results End-user (n = 38) and professional (n = 38) stakeholders including patients, dietitians, credentialed diabetes educators, nurses, medical doctors, research scientists, and exercise physiologists participated in the Delphi study. Fifty-two critical intervention characteristics were identified. Future interventions should address diet, physical activity, mental health (e.g. stress, diabetes-related distress), and functional health literacy, while advancing behaviour change support. Programs should be delivered digitally or used multiple delivery modes, target a range of population subgroups including children, and be based on collaborative efforts between national and local and government and non-government funded organisations. Conclusions Our findings highlight strong support for digital health to address T2DM in Australia and identify future directions for T2DM prevention interventions. The study also demonstrates the feasibility and value of stakeholder-led intervention development processes.

DOI

10.1371/journal.pone.0255625

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.