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Codesigning a Digital Type 2 Diabetes Risk Communication Tool in Singapore: Qualitative Participatory Action Research
Jumana Hashim1, Lidia Luna Puerta2, Pin Sym Foong3
1Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
JMIR Formative Research
|November 5, 2024
Summary
Public engagement in designing a type 2 diabetes (T2D) risk tool revealed key factors for effective communication. Participants favored "Metabolic Age" or "Relative Risk" formats, highlighting the need for further testing to motivate behavior change.
Area of Science:
- Public health
- Health communication
- Behavioral science
Background:
- Type 2 diabetes (T2D) is a global public health issue with suboptimal preventative behavior adoption.
- Effective risk communication can increase behavioral intention for T2D prevention.
Purpose of the Study:
- To codesign a T2D risk communication tool with public participants.
- To identify essential characteristics of an effective T2D risk communication tool.
- To develop a culturally sensitive tool motivating T2D preventative behaviors.
Main Methods:
- Utilized "Patient and Public Involvement (PPI) Hawkers" methodology engaging patrons at public eateries.
- Evaluated and tested three prototypes: "Diabetes Onset," "Relative Risk," and "Metabolic Age."
- Employed rapid testing, iteration, and inductive thematic analysis to gather feedback and identify key characteristics.
Main Results:
- 112 participants engaged, with key characteristics emerging in four themes: appeal/user experience, trust/validity, threat appraisal, and coping appraisal.
- "Diabetes Onset" prototype was removed; "Relative Risk" was seen as straightforward but potentially boring.
- "Metabolic Age" was considered more motivating but raised concerns about terminology understanding.
Conclusions:
- Participants were divided between "Metabolic Age" and "Relative Risk" prototypes.
- Further testing is needed to determine the most effective prototype for motivating behavior change.
- Study insights will inform future T2D risk communication interventions.
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