Comparison of Communication Channels for Large-Scale Type 2 Diabetes Risk Screening and Intervention Recruitment: Empirical Study.
Comparison of Communication Channels for Large-Scale Type 2 Diabetes Risk Screening and Intervention Recruitment: Empirical Study.
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DOI：
10.2196/21356
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发表时间：
2021-09-09
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影响因子：
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通讯作者：
StopDia Study Group
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作者：
Jalkanen K;Järvenpää R;Tilles-Tirkkonen T;Martikainen J;Aarnio E;Männikkö R;Rantala E;Karhunen L;Kolehmainen M;Harjumaa M;Poutanen K;Ermes M;Absetz P;Schwab U;Lakka T;Pihlajamäki J;Lindström J;StopDia Study Group
临床试验表明，2型糖尿病（T2D）可以通过针对高危人群的生活方式干预来预防。然而，大规模执行风险识别，然后采取预防性干预措施，已证明具有挑战性。具体而言，招募参与者参与预防性干预措施是干预措施的一个重要但往往被忽视的部分。本研究旨在比较不同沟通渠道的覆盖范围和收益率，以吸引T2D风险增加的人群填写数字筛查问卷，重点是接触风险最高的人群。参与者表达他们的参与意愿是风险筛选测试的最后一步，我们的目标是确定哪些渠道有最多的参与者达到这一步。我们建立了一个逐步的基于网络的T2D风险筛查工具，根据T2D风险水平自动反馈，并邀请符合条件的人参加在初级卫生保健环境中进行的StopDia预防干预研究。风险评估基于芬兰糖尿病风险评分;重复测量高血糖浓度的历史;或者，在女性中，以前的妊娠糖尿病。我们通过几个渠道邀请人们使用StopDia基于网络的筛选工具，根据他们报告了解StopDia的渠道，将受访者分为11类。使用方差分析比较了通过不同沟通渠道获得的受访者的人口统计数据。Logistic回归用于研究受访者通过风险筛查步骤取得进展的可能性。共有33 399人开始填写StopDia筛查工具。其中，86.13%（28，768/33，399）完成了测试，并将至少一个通信渠道命名为StopDia的信息来源。总共有26，167人填写了足够的信息以获得风险估计。其中，53.22%（13，925/26，167）处于增加的风险中，30.06%（7，866/26，167）为男性，39.77%（10，136/25，485）具有低或中等教育水平。最常提及的渠道是工作场所（n = 6817）、社交媒体或互联网（n = 6712）和报纸（n = 4784）。通过社区药房（415/608，68.3%）和医疗保健（1631/2535，64.33%）获得服务的人中，风险增加的比例最高。与感兴趣和符合条件的男子接触的最大比例的沟通渠道（1 353/3 979，34%）是亲戚或朋友。在文化程度较低的人群中，医疗保健（578/1 069，54.07%）和广播或电视（225/487，46.2%）所占比例最大。接触大量人群的沟通渠道，如社交媒体和报纸，是识别高危人群的最有效渠道。个性化的方法增加了男子和教育程度较低的人的参与。社区药房和卫生保健服务覆盖了T2D风险特别高的人群。因此，应根据预定目标群体选择和修改沟通和征聘渠道。RR2-10.1186/s12889-019-6574-y
Clinical trials have shown that type 2 diabetes (T2D) is preventable through lifestyle interventions targeting high-risk people. Nevertheless, large-scale implementation of risk identification followed by preventive interventions has proven to be challenging. Specifically, recruitment of participants into preventive interventions is an important but often overlooked part of the intervention. This study aims to compare the reach and yield of different communication channels to engage people at increased risk of T2D to fill in a digital screening questionnaire, with emphasis on reaching those at most risk. The participants expressing their willingness to participate is the final step in the risk screening test, and we aim to determine which channels had the most participants reach this step. We established a stepwise web-based T2D risk screening tool with automated feedback according to the T2D risk level and, for those who were eligible, an invitation to participate in the StopDia prevention intervention study conducted in a primary health care setting. The risk estimate was based on the Finnish Diabetes Risk Score; history of repeatedly measured high blood glucose concentration; or, among women, previous gestational diabetes. We used several channels to invite people to the StopDia web-based screening tool, and respondents were classified into 11 categories based on the channel through which they reported having learned about StopDia. The demographics of respondents reached via different communication channels were compared using variance analysis. Logistic regression was used to study the respondents’ likelihood of progressing through risk screening steps. A total of 33,399 persons started filling the StopDia screening tool. Of these, 86.13% (28,768/33,399) completed the test and named at least one communication channel as the source of information about StopDia. Altogether, 26,167 persons filled in sufficient information to obtain risk estimates. Of them, 53.22% (13,925/26,167) were at increased risk, 30.06% (7866/26,167) were men, and 39.77% (10,136/25,485) had low or middle education levels. Most frequently mentioned channels were workplace (n=6817), social media or the internet (n=6712), and newspapers (n=4784). The proportion of individuals at increased risk was highest among those reached via community pharmacies (415/608, 68.3%) and health care (1631/2535, 64.33%). The communication channel reaching the largest percentage of interested and eligible men (1353/3979, 34%) was relatives or friends. Health care (578/1069, 54.07%) and radio or television (225/487, 46.2%) accounted for the largest proportion of people with lower education. Communication channels reaching a large number of people, such as social media and newspapers, were the most effective channels for identifying at-risk people. Personalized approaches increased the engagement of men and less-educated people. Community pharmacies and health care services reached people with a particularly high T2D risk. Thus, communication and recruitment channels should be selected and modified based on the intended target group. RR2-10.1186/s12889-019-6574-y