Development of the OnTrack Diabetes program

Cassimatis, Mandy, Kavanagh, David J., Hills, Andrew P., Smith, Anthony C., Scuffham, Paul A., Edge, Steven, Gibson, Jeremy and Gericke, Christian (2015) Development of the OnTrack Diabetes program. JMIR Research Protocols, 4 2: e24.1-e24.12. doi:10.2196/resprot.2823


Author Cassimatis, Mandy
Kavanagh, David J.
Hills, Andrew P.
Smith, Anthony C.
Scuffham, Paul A.
Edge, Steven
Gibson, Jeremy
Gericke, Christian
Title Development of the OnTrack Diabetes program
Journal name JMIR Research Protocols   Check publisher's open access policy
ISSN 1929-0748
Publication date 2015-05-01
Year available 2015
Sub-type Article (original research)
DOI 10.2196/resprot.2823
Open Access Status DOI
Volume 4
Issue 2
Start page e24.1
End page e24.12
Total pages 12
Place of publication Toronto, ON, Canada
Publisher J M I R Publications
Language eng
Abstract Background: Type 2 diabetes affects an estimated 347 million people worldwide and often leads to serious complications including blindness, kidney disease, and limb amputation. Comorbid dysphoria is common and is an independent risk factor for poor glycaemic control. Professional support for diabetes self-management and dysphoria has limited availability and involves high costs, especially after regular hours, and in rural and remote areas. Web-based cognitive behavior therapy offers highly accessible, acceptable, and cost-effective support for people with diabetes. This paper describes the development of OnTrack Diabetes, a self-guided, Web-based program to promote improved physical and emotional self-management in people with Type 2 diabetes.
Formatted abstract
Background: Type 2 diabetes affects an estimated 347 million people worldwide and often leads to serious complications including blindness, kidney disease, and limb amputation. Comorbid dysphoria is common and is an independent risk factor for poor glycaemic control. Professional support for diabetes self-management and dysphoria has limited availability and involves high costs, especially after regular hours, and in rural and remote areas. Web-based cognitive behavior therapy offers highly accessible, acceptable, and cost-effective support for people with diabetes. This paper describes the development of OnTrack Diabetes, a self-guided, Web-based program to promote improved physical and emotional self-management in people with Type 2 diabetes.

Objective: The objective of the study is to describe the development of the OnTrack Diabetes program, which is a self-guided, Web-based program aimed to promote euthymia and improved disease self-management in people with Type 2 diabetes.

Methods: Semistructured interviews with 12 general practitioners and 13 patients with Type 2 diabetes identified enablers of and barriers to effective diabetes self-management, requirements for additional support, and potential program elements. Existing resources and research data informed the development of content, and consultants from relevant disciplines provided feedback on draft segments and reviewed the program before release. Using a self-guided delivery format contained costs, in addition to adapting program features and modules from an existing OnTrack program.

Results: A separate paper describes the protocol for a randomized controlled trial to provide this required evaluation.

Conclusions: Development of the OnTrack Diabetes program demonstrates strategies that help ensure that a program is acceptable to users. The next stages involve testing users’ experiences and examining the program’s effectiveness and cost-effectiveness in randomized controlled trials.
Keyword Type 2 diabetes
OnTrack Diabetes program
Web-based health care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 04 Aug 2015, 00:11:54 EST by Burke, Eliza on behalf of Centre for On-Line Health