ArticleBJGP open2019
Response to diagnosis of pre-diabetes in socioeconomically deprived areas: a qualitative study.
Article in BJGP open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies.BMC public health · 2022Pooled it
- Diagnosis and management of prediabetes and early type 2 diabetes: a qualitative study of patient experiences.BMJ open · 2026Article
- Article
- Preventing type 2 diabetes: a qualitative study exploring the complexity of health-related practices in people with prediabetes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Diet and Physical Activity Interventions for People from Minority Ethnic Backgrounds in the UK: A Scoping Review Exploring Barriers, Enablers and Cultural Adaptations.Journal of racial and ethnic health disparities · 2025Article
- Preferences for receiving diabetes prevention support and factors influencing healthy eating and physical activity and among patients with prediabetes in Chicago, Illinois.Preventive medicine reports · 2025Article
- Adults' perceived health promotion needs in the prediabetes stage: a meta-synthesis study.Journal of preventive medicine and hygiene · 2023Article
- Risk of progression from pre-diabetes to type 2 diabetes in a large UK adult cohort.Diabetic medicine : a journal of the British Diabetic Association · 2023Article
- Healthcare workers' perspectives on barriers and facilitators to referral and recruitment to diabetes prevention programmes: a systematic review protocol.HRB open research · 2023Article
- The English national health service diabetes prevention programme (NHS DPP): A scoping review of existing evidence.Diabetic medicine : a journal of the British Diabetic Association · 2022Article
- How do UK general practice staff understand and manage prediabetes? A focus group study.BJGP open · 2022Article
- Facilitators and Barriers to Uptake of Community-Based Diabetes Prevention Program Among Multi-Ethnic Asian Patients With Prediabetes.Frontiers in endocrinology · 2022Article
- Proximal and distal influences on dietary change among a diverse group with prediabetes participating in a pragmatic, primary care nurse-led intervention: a qualitative study.Public health nutrition · 2021Article
- Preventive Metformin Monotherapy Medication Prescription, Redemption and Socioeconomic Status in Hungary in 2018-2019: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Consequences of a Diagnostic Label: A Systematic Scoping Review and Thematic Framework.Frontiers in public health · 2021Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetes prevention is a key priority for the NHS, with a particular focus on populations at highest risk. The NHS Diabetes Prevention Programme (NHS DPP) has been introduced, offering a course of dietary and lifestyle education to individuals with pre-diabetes. However, concerns about the NHS DPP include: (1) the possible unintended consequences of labelling more people with a 'pre-condition'; (2) the possibility of worsening health inequalities as people in socioeconomically deprived areas tend to access behaviour-change programmes less readily; (3) the appropriateness of an intervention focused on individuals versus population-wide public health policy interventions.
aimTo explore the experience of diagnosis of pre-diabetes, and understand the barriers and facilitators to uptake of the NHS DPP for people living in socioeconomically deprived areas. DESIGN &
settingA qualitative study was undertaken. Participants with pre-diabetes were recruited from practices serving socioeconomically deprived areas of Sheffield, UK.
methodSemi-structured interviews were conducted and continued until data saturation (23 participants). Thematic analysis of data was undertaken.
resultsBoth healthcare context and an individual's personal and community context shaped response to diagnosis and likelihood of engaging with the NHS DPP. Patient activation was a useful concept in understanding response. Whether or not people participated in the NHS DPP, being diagnosed with pre-diabetes tended to provoke some degree of dietary change and did not cause significant anxiety for most. However, there were multiple barriers to engaging with the NHS DPP for this patient group.
conclusionDiagnosing pre-diabetes can provoke an individual positive response, but the sociocultural environment often limits an individual's ability to engage with the NHS DPP or make lifestyle change.
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