Adults' perceived health promotion needs in the prediabetes stage: a meta-synthesis study

J Prev Med Hyg. 2024 Jan 1;64(4):E411-E428. doi: 10.15167/2421-4248/jpmh2023.64.4.3152. eCollection 2023 Dec.


Introduction: One of the methods to promote pre-diabetic patients' adherence to preventive behaviors and improving their lifestyle is to pay attention to their needs in the designed educational programs. Therefore, this study was conducted with the aim of identifying the needs of individuals with prediabetes.

Methodology: Three databases, including ISI/Web of Sciences, PubMed, Scopus were searched without time limitation until August 2022. The quality of the included studies was assessed using the Critical Appraisal Skills Programme tool. This study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guidelines and to achieve the research goal, Sandelowski and Barroso's seven-step meta-synthesis method (2007) was used. Thematic synthesis was used to analyses the data.

Results: Out of the 1934 studies obtained, 34 studies were finally examined and 805 codes were recorded based on the extracted data. Through synthesizing and analyzing the primary studies, 8 main themes were extracted regarding individuals' needs in the prediabetes stage: Information needs, Cultural needs, psychological needs, Social support needs, Education needs, Financial needs, Service needs and Skill needs.

Discussion and conclusions: The perceived needs and their types in each of the dimensions in detail can be a proper guide for designing educational programs and various interventions to control the prediabetes condition, leading to a reduction in the prevalence of type 2 diabetes in the society.

Keywords: Health Promotion; Iran; Meta-Synthesis; Needs Assessment; Prediabetes; Systematic review.

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 2* / prevention & control
  • Health Promotion
  • Humans
  • Prediabetic State*