{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:56:39Z","timestamp":1790780199943,"version":"4.1.0"},"reference-count":65,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001349","name":"National Medical Research Council","doi-asserted-by":"publisher","award":["MOH\u2010000742\u201000"],"award-info":[{"award-number":["MOH\u2010000742\u201000"]}],"id":[{"id":"10.13039\/501100001349","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop and examine the feasibility and preliminary effectiveness of a multicomponent diabetes prevention programme, Preventing Diabetes Via Volunteers Engaging Residence using Technology (P\u2010Divert), in improving intentions to prevent diabetes and promoting healthy lifestyle behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pilot quasi\u2010experimental study with matched controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The P\u2010Divert programme was developed following the UK Medical Research Council framework for developing and evaluating complex interventions. Field testing with lay participants and relevant experts informed programme refinement prior to implementation. A pilot quasi\u2010experimental study with matched controls was conducted among adults aged 21\u201369\u2009years at risk of developing diabetes in Singapore. Data were collected at baseline and 12\u2009weeks using validated instruments. Outcomes included the Diabetes Intentions, Attitudes and Behaviour Questionnaire (DIAB\u2010Q), Generalized Self\u2010Efficacy Scale (GSES), Multidimensional Health Locus of Control Form C (MHLC\u2010C), Exercise Goal Setting Scale (EGS), Weight\u2010Related Eating Questionnaire (WREQ), and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The programme demonstrated acceptable feasibility, with an 80% retention rate and a 70% adherence rate. Compared with the control group, participants in the intervention group reported significantly higher DIAB\u2010Q subjective norm and planning scores, exercise goal setting scores, and WREQ compensatory restraint scores, as well as significantly lower MHLC\u2010C Chance scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The P\u2010Divert programme was feasible and showed preliminary potential to improve intentions to prevent diabetes and promote the adoption of healthy lifestyle behaviours among individuals at risk of developing diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications to Nursing<\/jats:title>\n                    <jats:p>The P\u2010Divert programme can potentially enhance at\u2010risk individuals' intentions to adopt healthier behaviours, possibly lowering diabetes prevalence and healthcare burden in Singapore. Its integration into community nursing services could strengthen diabetes prevention efforts and may also have potential applications in the prevention of other chronic diseases, thereby reducing long\u2010term disease management burdens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Members of the public were recruited as participants in this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70764","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:10:58Z","timestamp":1790777458000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preventing Diabetes Through Volunteer Engagement and Technology: The Development and Pilot Study of P\u2010Divert"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2971-4985","authenticated-orcid":false,"given":"Jun Yi Claire","family":"Teo","sequence":"first","affiliation":[{"name":"Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui En Evelyn","family":"Cheong","sequence":"additional","affiliation":[{"name":"National University Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1496-0825","authenticated-orcid":false,"given":"Ying","family":"Jiang","sequence":"additional","affiliation":[{"name":"Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore  Singapore 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