Evidence map›Paper›PMID 39587776›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2025

HEAL-D Online: Exploring the potential for the spread and adoption of a virtual culturally tailored diabetes self-management programme for adults of African and Caribbean heritage.

Sophie Lowry, Joseph Low, Louise Goff, Sally Irwin, Nick Sevdalis, Pearl Okeke, Oliver Brady, Natasha Curran, Andrew Walker

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Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sophie LowryHealth Innovation Network South London, London, UK.ORCID http://orcid.org/0000-0003-1707-9133
Joseph LowHealth Innovation Network South London, London, UK.ORCID http://orcid.org/0000-0003-1499-5216
Louise GoffLeicester Diabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0001-9633-8759
Sally IrwinHealth Innovation Network South London, London, UK.ORCID http://orcid.org/0000-0003-4125-2258
Nick SevdalisCentre for Behavioural and Implementation Science Interventions, National University of Singapore, Singapore.ORCID http://orcid.org/0000-0001-7560-8924
Pearl OkekeHealth Innovation Network South London, London, UK.ORCID http://orcid.org/0009-0003-7313-6021
Oliver BradyHealth Innovation Network South London, London, UK.ORCID http://orcid.org/0000-0002-9097-0486
Natasha CurranHealth Innovation Network South London, London, UK.ORCID http://orcid.org/0000-0003-0165-7314
Andrew WalkerHealth Innovation Network South London, London, UK.ORCID http://orcid.org/0000-0003-1128-8954

Funding

NHS EnglandNIHR Applied Research Collaboration South London
6 · The paper itself

Abstract

backgroundPeople of African and Caribbean heritage in the UK have a higher prevalence of Type 2 Diabetes (T2D) and poorer health outcomes than white Europeans. Healthy Eating and Active Lifestyles for Diabetes Online (HEAL-D Online) is a co-designed, culturally tailored T2D self-management programme for black African and Caribbean adults, which, due to online delivery, is well positioned for spread. This qualitative evaluation uses the Exploration-Preparation-Implementation-Sustainment (EPIS) framework to explore factors affecting scale-up from delivery and commissioning perspectives.

methodsSemi-structured interviews were conducted with nine commissioners and providers of T2D services from three English areas with varying population characteristics to explore scale-up. Focus groups were held with 15 people of African and Caribbean heritage with T2D lived experience to explore the impact of a digital model of participation. Data were analysed using thematic analysis, with themes mapped onto the EPIS framework exploration phase constructs to consider the outer and inner contextual factors for planning implementation.

resultsSix EPIS constructs were identified by commissioners and providers as key in scaling HEAL-D Online. People with T2D lived experience explored the online mode of delivery, using the patient advocacy construct as the analytical lens. In delivering an online T2D programme, two themes were identified: (1) aligning course content with people's preferences; (2) practicalities to ensure online delivery was acceptable and accessible to the community.

conclusionsHEAL-D Online was acceptable with the potential to help address health inequalities. The EPIS framework provided a structure to understand factors in planning scale-up for an intervention targeting underserved communities.

Indexed as

Black PeopleCaribbean PeopleDiabetes Mellitus, Type 2Self-ManagementAgedCulturally Competent CareDiet, HealthyFemaleFocus GroupsHumansMaleMiddle AgedQualitative ResearchUnited KingdomdiabeteseducationEPISimplementation sciencescale‐upself‐management

Identifiers

PMID39587776
PMCPMC11589399

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.