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

Charlotte Dack*, J. Ross, F. Stevenson, Kingshuk Pal, Elsa Gubert, S. Michie, Lucy Yardley, M. Barnard, Carl May, Andrew Farmer, Bindie Wood, Elizabeth Murray

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)

3 Citations (Scopus)
186 Downloads (Pure)

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 languageEnglish
Article number100241
Number of pages12
JournalInternet Interventions
Volume17
Early online date20 Mar 2019
DOIs
Publication statusPublished - 1 Sep 2019

Structured keywords

  • Physical and Mental Health
  • Digital Health

Keywords

  • Diabetes mellitus, type 2
  • Self-management
  • Patient education as topic
  • Internet
  • Digital intervention development
  • Participatory design

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