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A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes.
Internet Interventions ( IF 3.6 ) Pub Date : 2019-09-01 , DOI: 10.1016/j.invent.2019.100241
Charlotte Dack 1 , Jamie Ross 2 , Fiona Stevenson 2 , Kingshuk Pal 2 , Elsa Gubert 2 , Susan Michie 3 , Lucy Yardley 4, 5 , Maria Barnard 6 , Carl May 7, 8 , Andrew Farmer 9 , Bindie Wood 2 , Elizabeth Murray 2
Affiliation  

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.

中文翻译:

成人 2 型糖尿病的数字自我管理干预:结合理论、数据和参与式设计开发 HeLP-糖尿病。

背景 数字健康干预有可能促进更好的健康结果、更好的医疗保健和更低的成本。然而,其有效性的证据是可变的。数字健康干预措施的发展和内容往往没有得到足够详细的描述,以使其他人能够复制研究或改进以前的干预措施。这导致了对干预内容和发展的透明报告的呼吁。目的 描述 2 型糖尿病 (HeLP-糖尿病) 患者的数字自我管理干预的开发过程和内容,该干预已被发现可实现其目标临床结果,即 HbA1c 的降低,这是一种血糖控制措施。方法 我们综合了现有研究证据和国际指南的理论、数据,以及来自目标用户的新定性数据,以确定自我管理的决定因素以及 HeLP-Diabetes 中包含的内容。使用持续的迭代参与式设计方法,编写、制作、审查和更改干预的内容。结论 可以制定并透明地报告长期状况的自我管理计划,这些计划反映了当前的最佳证据、理论基础和用户参与。我们打算报告开发过程和内容将为未来的数字干预开发提供信息。结论 可以制定并透明地报告长期状况的自我管理计划,这些计划反映了当前的最佳证据、理论基础和用户参与。我们打算报告开发过程和内容将为未来的数字干预开发提供信息。结论 可以制定并透明地报告长期状况的自我管理计划,这些计划反映了当前的最佳证据、理论基础和用户参与。我们打算报告开发过程和内容将为未来的数字干预开发提供信息。
更新日期:2019-09-01
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