Abstract
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.
Original language | English |
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Article number | 100241 |
Journal | Internet Interventions |
Volume | 17 |
Early online date | 20 Mar 2019 |
DOIs | |
Publication status | Published - 1 Sept 2019 |
Funding
This paper presents independent research supported by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (grant reference number RP-PG-0609-10135 ). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. AF is an NIHR Senior Investigator and receives funding from Oxford NIHR Biomedical Research Centre.
Keywords
- Diabetes mellitus, type 2
- Digital intervention development
- Internet
- Participatory design
- Patient education as topic
- Self-management
ASJC Scopus subject areas
- Health Informatics