TY - JOUR
T1 - A digital self-management intervention for adults with type 2 diabetes
T2 - Combining theory, data and participatory design to develop HeLP-Diabetes
AU - Dack, Charlotte
AU - Ross, J.
AU - Stevenson, F.
AU - Pal, Kingshuk
AU - Gubert, Elsa
AU - Michie, S.
AU - Yardley, Lucy
AU - Barnard, M.
AU - May, Carl
AU - Farmer, Andrew
AU - Wood, Bindie
AU - Murray, Elizabeth
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Background: Digital health interventions have potential to contribute to better health outcomes, better healthcare and lower costs. However, evidence for their effectiveness is variable. The development and content of digital health interventions are often not described in enough detail to enable others to replicate the research or improve on previous interventions. This has led to a call for transparent reporting of intervention content and development. Purpose: To describe the development process and content of a digital self-management intervention for people with type 2 diabetes (HeLP-Diabetes) that has been found to achieve its target clinical outcome, the reduction of HbA1c, a measure of glycaemic control. Method: We synthesised theory, data from existing research evidence and international guidelines, and new qualitative data from target users to identify the determinants of self-management and the content to be included in HeLP-Diabetes. Using an ongoing iterative participatory design approach the content of the intervention was written, produced, reviewed and changed. Conclusion: It is possible to develop and transparently report self-management programmes for long-term conditions, which reflect current best evidence, theoretical underpinning and user involvement. We intend that reporting the development process and content will inform future digital intervention development.
AB - Background: Digital health interventions have potential to contribute to better health outcomes, better healthcare and lower costs. However, evidence for their effectiveness is variable. The development and content of digital health interventions are often not described in enough detail to enable others to replicate the research or improve on previous interventions. This has led to a call for transparent reporting of intervention content and development. Purpose: To describe the development process and content of a digital self-management intervention for people with type 2 diabetes (HeLP-Diabetes) that has been found to achieve its target clinical outcome, the reduction of HbA1c, a measure of glycaemic control. Method: We synthesised theory, data from existing research evidence and international guidelines, and new qualitative data from target users to identify the determinants of self-management and the content to be included in HeLP-Diabetes. Using an ongoing iterative participatory design approach the content of the intervention was written, produced, reviewed and changed. Conclusion: It is possible to develop and transparently report self-management programmes for long-term conditions, which reflect current best evidence, theoretical underpinning and user involvement. We intend that reporting the development process and content will inform future digital intervention development.
KW - Diabetes mellitus, type 2
KW - Digital intervention development
KW - Internet
KW - Participatory design
KW - Patient education as topic
KW - Self-management
UR - http://www.scopus.com/inward/record.url?scp=85069539023&partnerID=8YFLogxK
U2 - 10.1016/j.invent.2019.100241
DO - 10.1016/j.invent.2019.100241
M3 - Article
AN - SCOPUS:85069539023
SN - 2214-7829
VL - 17
JO - Internet Interventions
JF - Internet Interventions
M1 - 100241
ER -
