Abstract：
OBJECTIVE: To explore factors affecting participation in the pilot of the synchronous online national diabetes prevention programme (NDPP) in Ireland from the perspectives of those who attended and the educators who recruited for and delivered the programme.
METHODS: A qualitative study involving semi-structured interviews and focus groups with NDPP attenders (attended the assessment and at least one session) and educators (dietitians) on the programme. The Framework Method using the Theoretical Domains Framework (TDF) guided the analysis.
RESULTS: Thirteen attenders took part in two online focus groups and five online or phone interviews. Eight educators took part. Four themes which cut across the TDF domains were identified as factors influencing participation; (i) lack of awareness of prediabetes and fear of diabetes, relating to attenders\' fear of diabetes and lack of knowledge of prediabetes and diabetes prevention; (ii) perceived need for programme support to change health behaviour, concerning attenders\' and educators\' recognition of the need for the NDPP; (iii) trust in healthcare professionals (HCPs), relating to trust in HCPs to convey the seriousness of prediabetes and the value of diabetes prevention programmes (DPPs) and (iv) practical and personal ease of joining online, relating to the flexibility and accessibility of the synchronous online group format, the IT skills of attenders and educators and apprehension about group education.
CONCLUSIONS: Raising awareness of prediabetes and the need for prevention programmes should be a priority for health services and HCPs. The synchronous online group format was seen as less daunting to join than a face-to-face programme and may be a useful option to encourage participation.
METHODS: A qualitative study involving semi-structured interviews and focus groups with NDPP attenders (attended the assessment and at least one session) and educators (dietitians) on the programme. The Framework Method using the Theoretical Domains Framework (TDF) guided the analysis.
RESULTS: Thirteen attenders took part in two online focus groups and five online or phone interviews. Eight educators took part. Four themes which cut across the TDF domains were identified as factors influencing participation; (i) lack of awareness of prediabetes and fear of diabetes, relating to attenders\' fear of diabetes and lack of knowledge of prediabetes and diabetes prevention; (ii) perceived need for programme support to change health behaviour, concerning attenders\' and educators\' recognition of the need for the NDPP; (iii) trust in healthcare professionals (HCPs), relating to trust in HCPs to convey the seriousness of prediabetes and the value of diabetes prevention programmes (DPPs) and (iv) practical and personal ease of joining online, relating to the flexibility and accessibility of the synchronous online group format, the IT skills of attenders and educators and apprehension about group education.
CONCLUSIONS: Raising awareness of prediabetes and the need for prevention programmes should be a priority for health services and HCPs. The synchronous online group format was seen as less daunting to join than a face-to-face programme and may be a useful option to encourage participation.
摘要：
目的：从参加该计划的人员和招募并实施该计划的教育工作者的角度，探讨影响参与爱尔兰同步在线国家糖尿病预防计划（NDPP）试点的因素。
方法：一项定性研究，涉及与NDPP参与者（参加评估和至少一次会议）和教育工作者（营养师）进行半结构化访谈和焦点小组。使用理论域框架（TDF）的框架方法指导了分析。
结果：13名参与者参加了两个在线焦点小组和五个在线或电话采访。八名教育工作者参加了会议。跨越TDF领域的四个主题被确定为影响参与的因素;（i）缺乏对糖尿病前期的认识和对糖尿病的恐惧，与参与者对糖尿病的恐惧以及缺乏糖尿病前期和糖尿病预防知识有关；（ii）认为需要计划支持以改变健康行为，关于参与者和教育者对NDPP需求的认识；（iii）对医疗保健专业人员（HCP）的信任，与对HCP的信任有关，以传达前驱糖尿病的严重性和糖尿病预防计划（DPPs）的价值，以及（iv）实际和个人在线加入的便利性，关于同步在线组格式的灵活性和可访问性，参与者和教育工作者的信息技术技能，以及对群体教育的担忧。
结论：提高对糖尿病前期的认识和预防计划的需要应该是卫生服务和HCPs的优先事项。与面对面计划相比，同步在线小组形式的加入难度较小，并且可能是鼓励参与的有用选择。
方法：一项定性研究，涉及与NDPP参与者（参加评估和至少一次会议）和教育工作者（营养师）进行半结构化访谈和焦点小组。使用理论域框架（TDF）的框架方法指导了分析。
结果：13名参与者参加了两个在线焦点小组和五个在线或电话采访。八名教育工作者参加了会议。跨越TDF领域的四个主题被确定为影响参与的因素;（i）缺乏对糖尿病前期的认识和对糖尿病的恐惧，与参与者对糖尿病的恐惧以及缺乏糖尿病前期和糖尿病预防知识有关；（ii）认为需要计划支持以改变健康行为，关于参与者和教育者对NDPP需求的认识；（iii）对医疗保健专业人员（HCP）的信任，与对HCP的信任有关，以传达前驱糖尿病的严重性和糖尿病预防计划（DPPs）的价值，以及（iv）实际和个人在线加入的便利性，关于同步在线组格式的灵活性和可访问性，参与者和教育工作者的信息技术技能，以及对群体教育的担忧。
结论：提高对糖尿病前期的认识和预防计划的需要应该是卫生服务和HCPs的优先事项。与面对面计划相比，同步在线小组形式的加入难度较小，并且可能是鼓励参与的有用选择。
