1.
The characteristics and acceptance of Technology-Enabled diabetes prevention programs (t-DPP) amongst individuals with prediabetes: A scoping review.
Teo, JYC, Ramachandran, HJ, Jiang, Y, Seah, CWA, Lim, ST, Nguyen, HD, Wang, W
Journal of clinical nursing. 2023;(17-18):5562-5578
Abstract
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.
2.
Awareness, knowledge and healthy lifestyle behaviors related to coronary heart disease among women: An integrative review.
Ramachandran, HJ, Wu, VX, Kowitlawakul, Y, Wang, W
Heart & lung : the journal of critical care. 2016;(3):173-85
Abstract
The purpose of this review is to examine recent literature on the awareness, knowledge, and healthy lifestyle behaviors related to Coronary Heart Disease (CHD) among women. Literature published in the English language from 2004 to 2015 was reviewed. Of the 684 articles retrieved, 21 were deemed relevant. Being aware that CHD is the leading cause of death in women and knowledge of the risk factors of CHD were found to be generally suboptimal in the women studied. Awareness was seen to be positively associated with healthy lifestyle behaviors, though findings on the predictive relationship of knowledge of risk factors on healthy lifestyle behaviors in women seem to be divided. Diabetes was the prominent risk factor that most women did not associate with CHD. Translating these findings into clinical practice can help health care providers be more attuned when discussing CHD with their female patients so as to provide targeted education on CHD prevention.