A systematic review of the mechanisms influencing engagement in diabetes prevention programmes for people with pre-diabetes.

Aims: To identify barriers and enablers that influence engagement in and acceptability of diabetes prevention programmes for people with pre-diabetes. The results will provide insights for developing strategies and recommendations to improve design and delivery of diabetes prevention programmes with enhanced engagement and acceptability for people with pre-diabetes.

Methods: This review used a critical realist approach to examine context and mechanisms of diabetes prevention programmes.

A critical realist exploration of factors influencing engagement in diabetes prevention programs in rural settings.

Background: Diabetes prevention programs are intended to reduce progression to type 2 diabetes, but are underutilised. This study aimed to explore people with prediabetes' knowledge and attitudes about prediabetes, and their perceptions about engagement in preventive programs in a rural setting. The findings will inform strategies and recommendations to increase preventive health program engagement.