{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T08:04:39Z","timestamp":1773216279385,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/hrbopenres.13807.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000}},{"DOI":"10.12688\/hrbopenres.13807.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000}},{"DOI":"10.12688\/hrbopenres.13807.3","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000}}],"reference-count":28,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Health Research Board Collaborative Doctoral Award","award":["CDA-2019-001"],"award-info":[{"award-number":["CDA-2019-001"]}]}],"content-domain":{"domain":["hrbopenresearch.org"],"crossmark-restriction":false},"short-container-title":["HRB Open Res"],"abstract":"<ns3:p>Background Diabetes prevention programmes (DPPs) are being implemented around the world to tackle the rise in type 2 diabetes. In 2021\/22, the Health Service Executive(HSE) in Ireland piloted a fully online national diabetes prevention programme(NDPP). Characteristics and factors affecting participation may be different among people attending online DPPs compared to face-to-face programmes. The aim of this study was to describe the demographic, psychosocial and health characteristics of participants in the pilot of the online NDPP in Ireland. Methods A survey from the evaluation of the English NDPP was adapted for the Irish context with Patient and Public Involvement (PPI) input. The survey was sent (between April and June 2022) to all individuals who attended the initial assessment of the pilot NDPP (n=73). It contained questions on health status, co-morbidities, motivation to improve health, quality of life, self-efficacy, beliefs about the risk of diabetes, participation(e.g. recollection and understanding of invite, number of sessions attended), as well as demographic information. Results Response rate was 30.5% (n=22). Mean age of responders was 62 years (range 36\u201382 years) and over half were men (57.1%, n=12). The majority (81%, n=17) had attended 6 or more of the 14 sessions. Most (90.5% n=19) reported having family members or acquaintances with diabetes, had positive views of their current health status and high quality of life scores (71.4%, n= 15). Mental health scores were slightly higher than the national average. Over half (57.2%, n=12) were confident or very confident about participating in an online DPP. Almost all (95.2%, n=20) believed it was important to manage their risk of type 2 diabetes. Conclusions Participants in the online pilot NDPP had positive views of their general health and positive psychosocial characteristics affecting their decision to participate. These beliefs may be modifiable intervention targets to encourage participation among non-attenders in future programmes.<\/ns3:p>","DOI":"10.12688\/hrbopenres.13807.4","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T12:25:07Z","timestamp":1741263907000},"page":"61","update-policy":"https:\/\/doi.org\/10.12688\/hrbopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Characteristics of participants in the first fully online National Diabetes Prevention Programme: A quantitative 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Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v4\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v4\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v4\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T12:25:10Z","timestamp":1741263910000},"score":1,"resource":{"primary":{"URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,6]]},"references-count":28,"URL":"https:\/\/doi.org\/10.12688\/hrbopenres.13807.4","relation":{"has-version":[{"id-type":"doi","id":"10.12688\/hrbopenres.13807.3","asserted-by":"subject"},{"id-type":"doi","id":"10.12688\/hrbopenres.13807.2","asserted-by":"subject"},{"id-type":"doi","id":"10.12688\/hrbopenres.13807.1","asserted-by":"subject"}]},"ISSN":["2515-4826"],"issn-type":[{"value":"2515-4826","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,6]]},"assertion":[{"value":"Indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v4#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.21956\/hrbopenres.15404.r43309, Rhiannon Hawkes, University of Manchester, Manchester, 25 Nov 2024, version 2, 1 approved, 1 approved with reservations, 1 not approved","URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v2#referee-response-43309","order":0,"name":"referee-response-43309","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/hrbopenres.15429.r44229, Lillian Madrigal, Emory University, Atlanta, 19 Dec 2024, version 3, indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v3#referee-response-44229","order":1,"name":"referee-response-44229","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/hrbopenres.15404.r43337, Michael J Cannon, Centers for Disease Control and Prevention, Atlanta, 17 Dec 2024, version 2, 1 approved, 1 approved with reservations, 1 not approved","URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v2#referee-response-43337","order":2,"name":"referee-response-43337","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>clair haseldine<\/b>; \n<i>Posted: 28 Feb 2025<\/i>; Dear Dr Cannon,&nbsp; Thank you for you helpful review. I respond to all of the points you raised below.&nbsp;  \n<b>1. For understanding this study better, I would recommend adding a few sentences about recruitment in the section under Survey domains\/Participation<\/b>  1. This information has been added in Version 3 in response to Reviewer 2 comments as detailed below. The page numbers and line numbers have been updated for the latest version (Version 4).  \n<b>How did recruitment work? How were people identified as eligible to participate?<\/b>  Further details have been added to \u201cSurvey Domains: Participation\u201d  Recruitment for the NDPP pilot was from existing dietetic waiting lists and by referrals from GPs who had been informed of the pilot. Page 5 lines 12, 13  \n<b>What percentage of people called agreed to participate and then actually participated?<\/b>  Further clarification has been added to the section \u201cParticipants and procedure\u201d  Of the 158 people invited to attend the NDPP, 73 attended the initial assessment and 67 went on to attend at least one further session. Page 10 lines 5,6  \n<b>2. The main limitation of the study is that the sample size was very small (N=22). As a result, it is hard to know how generalizable the results are. This, to me, is a serious limitation. Furthermore, the respondents only represented 30.5% of participants who were invited to participate (N=73), and they may differ in important ways from those who did not respond. As a result of these limitations, I do not have confidence that the findings can be applied more widely.<\/b>  2. We acknowledge the reviewer\u2019s concerns about the sample size (N=22) and the response rate (30.5%). The number invited to take part in the pilot programme was small (N=73) which limited the overall number of survey respondents. Pilot programmes are often intentionally small to test the feasibility of implementing the programme before scale up and as a trial run of the intervention itself (Skivington et al, 2021). To maximise the response rate, we personalised the invite to the survey, included a \u20ac10 voucher to compensate the respondents for their time and included a stamped addressed envelope for the survey return, strategies shown to be effective in a Cochrane systematic review (Edwards, et al, 2007). References Skivington K, Matthews L, Simpson SA, Craig P, Baird J, Blazeby JM, Boyd KA, Craig N, French DP, McIntosh E, Petticrew M. A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. bmj. 2021 Sep 30;374. Edwards PJ, Roberts IG, Clarke MJ, DiGuiseppi C, Wentz R, Kwan I, Cooper R, Felix L, Pratap S. Methods to increase response rates to postal questionnaires. Cochrane Database of systematic reviews 2007, issue 2. Art No : MR000008  The generalisability of small sample size and response rate are discussed further in the strengths and limitations section:  The uptake of this survey was lower than the response to the NHS survey (31% vs 54%) however, the people who responded to the survey had a broad age range, a wide range of educational attainment, and there was good representation from both men and women. While the small sample size and response rate may limit the generalisability of this research note, the findings provide an update to researchers and DPP providers about the online pilot of an NDPP and the emerging evidence on the characteristics of those invited to attend. Page 13 lines 25 - 30  \n<b>3. For future research, in addition to having a larger sample of respondents, it would be great to have a better sense of how some of the measures differed for eligible individuals who declined participation in the NDPP (perhaps through surveys) and for all eligible participants in the country (perhaps using other data sources). This would give a stronger sense of what is different for those who decide to participate compared to those who do not.<\/b>   3. Originally, we had hoped to survey the people who declined to attend but this access to this data was not possible. The recommendations for further research have been added to the strengths and limitations section as suggested:  The people attending the programme may have been the easiest to recruit, or they may have differed in important ways from those who chose to respond, therefore further research (such as survey or other data sources) should focus on understanding the views of those who declined to attend to improve participation in the future. Page 13 lines 33 and 34","URL":"https:\/\/hrbopenresearch.org\/articles\/6-61\/v4#referee-comment-3735","order":3,"name":"referee-comment-3735","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"This study was funded by a Health Research Board (HRB) Collaborative Doctoral Award, 2019 (CDA-2019-001). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":4,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}