A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes

A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes

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 ot...

Full description

Bibliographic Details
Main Authors: Charlotte Dack, Jamie Ross, Fiona Stevenson, Kingshuk Pal, Elsa Gubert, Susan Michie, Lucy Yardley, Maria Barnard, Carl May, Andrew Farmer, Bindie Wood, Elizabeth Murray
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:Internet Interventions
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782918300423
id doaj-aff99dc010da4e83b8c85c725087a626
record_format Article
spelling doaj-aff99dc010da4e83b8c85c725087a6262020-11-25T01:25:42ZengElsevierInternet Interventions2214-78292019-09-0117A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-DiabetesCharlotte Dack0Jamie Ross1Fiona Stevenson2Kingshuk Pal3Elsa Gubert4Susan Michie5Lucy Yardley6Maria Barnard7Carl May8Andrew Farmer9Bindie Wood10Elizabeth Murray11Department of Psychology, University of Bath, Claverton Down, Bath BA2 7AY, UK; Corresponding author.Research Department of Primary Care and Population Health, University College London, London NW3 2PF, UKResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UKResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UKResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UKCentre for Behaviour Change, Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UKDepartment of Experimental Psychology, University of Bristol, Priory Road, Clifton BS8 1TU, UK; Department of Psychology, Building 44 Highfield Campus, University of Southampton, SO17 1BJ, UKWhittington Health, Magdala Avenue, London N19 5NF, UKFaculty of Health Sciences, University of Southampton, SO17 1BJ, UK; London School of Hygiene and Tropical Medicine, 15-17 Tavistock place, London WC1H 9SH, UKNuffield Department of Primary Care Health Sciences, University of Oxford, OX2 6GG, UKResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UKResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UKBackground: 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. Keywords: Diabetes mellitus, type 2, Self-management, Patient education as topic, Internet, Digital intervention development, Participatory designhttp://www.sciencedirect.com/science/article/pii/S2214782918300423
collection DOAJ
language English
format Article
sources DOAJ
author Charlotte Dack
Jamie Ross
Fiona Stevenson
Kingshuk Pal
Elsa Gubert
Susan Michie
Lucy Yardley
Maria Barnard
Carl May
Andrew Farmer
Bindie Wood
Elizabeth Murray
spellingShingle Charlotte Dack
Jamie Ross
Fiona Stevenson
Kingshuk Pal
Elsa Gubert
Susan Michie
Lucy Yardley
Maria Barnard
Carl May
Andrew Farmer
Bindie Wood
Elizabeth Murray
A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes
Internet Interventions
author_facet Charlotte Dack
Jamie Ross
Fiona Stevenson
Kingshuk Pal
Elsa Gubert
Susan Michie
Lucy Yardley
Maria Barnard
Carl May
Andrew Farmer
Bindie Wood
Elizabeth Murray
author_sort Charlotte Dack
title A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes
title_short A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes
title_full A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes
title_fullStr A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes
title_full_unstemmed A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes
title_sort digital self-management intervention for adults with type 2 diabetes: combining theory, data and participatory design to develop help-diabetes
publisher Elsevier
series Internet Interventions
issn 2214-7829
publishDate 2019-09-01
description 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. Keywords: Diabetes mellitus, type 2, Self-management, Patient education as topic, Internet, Digital intervention development, Participatory design
url http://www.sciencedirect.com/science/article/pii/S2214782918300423
work_keys_str_mv AT charlottedack adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT jamieross adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT fionastevenson adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT kingshukpal adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT elsagubert adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT susanmichie adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT lucyyardley adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT mariabarnard adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT carlmay adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT andrewfarmer adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT bindiewood adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT elizabethmurray adigitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT charlottedack digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT jamieross digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT fionastevenson digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT kingshukpal digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT elsagubert digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT susanmichie digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT lucyyardley digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT mariabarnard digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT carlmay digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT andrewfarmer digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT bindiewood digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
AT elizabethmurray digitalselfmanagementinterventionforadultswithtype2diabetescombiningtheorydataandparticipatorydesigntodevelophelpdiabetes
_version_ 1725112313791381504

Similar Items