The characteristics and acceptance of Technology‐Enabled diabetes prevention programs (t‐DPP) amongst individuals with prediabetes: A scoping review

• Published in: Journal of clinical nursing 2023-09, Vol.32 (17-18), p.5562-5578
• Main Authors: Teo, Jun Yi Claire, Ramachandran, Hadassah Joann, Jiang, Ying, Seah, Chuen Wei Alvin, Lim, Suan Tee, Nguyen, Hoang D., Wang, Wenru
• Format: Article
• Language: English
• Subjects: Diabetes; diabetes prevention; Disease prevention; Insulin resistance; Medical technology; mobile application; prediabetic state; Prevention programs; telehealth; Telemedicine
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/jocn.16649

Aim and Objective As rising global prevalence of diabetes burdens an overstrained healthcare system, it would be prudent to employ primary prevention strategies. This review aims to detail characteristics of technology‐enabled diabetes prevention programs (t‐DPP) and the technology acceptance amongst prediabetic individuals. Design A scoping review. Review Methods Summative and direct content analysis. Data Sources Seven electronic databases—PubMed, Cochrane, Embase, CINAHL, Scopus, PsycINFO and Web of Science—were searched from inception till 9 June 2022 for primary studies conducted on t‐DPP. Initial search identified 2412 unique articles. Removal of duplicates and irrelevant articles resulted in 58 full text articles screened and 17 articles meeting the eligibility criteria. There was no limitation to study type or year of publication, but language was limited to English. Results Common t‐DPP characteristics include physical activity (n = 17), diet control (n = 16), coaching (n = 12), social support (n = 9) and skills acquisition (n = 12). Technological acceptance of t‐DPPs were generally positive as participants found them useful (n = 5) and easy to use (n = 4), with majority of the participants interested (n = 5) and engaging well with it (n = 13). However, personal‐, design‐ and technological‐level factors were found to negatively influence t‐DPPs acceptance. Conclusion This review reported a generally positive technological acceptance. The result encourages remote delivery of diabetes prevention programs, offering researchers a guide to t‐DPP development. However, it also highlights the need for integration of behavioural change theories and socio‐cultural considerations, with gaps in knowledge amongst men and young adults. Implications for Nursing The success of t‐DPP can reinforce clinical advice and sustain health behaviours advocated by nurses. Involvement of diabetes‐trained nurses would enable continual risk assessment, monitoring and timely intervention to prevent diabetes and potential complications. Reporting Method PRISMA‐ScR checklist.