The OnTrack diabetes web-based program for type 2 diabetes and dysphoria self-management: a randomized controlled trial protocol.

Cassimatis, Mandy, Kavanagh, David John, Hills, Andrew Paul, Smith, Anthony Carl, Scuffham, Paul A., Gericke, Christian and Parham, Sophie (2015) The OnTrack diabetes web-based program for type 2 diabetes and dysphoria self-management: a randomized controlled trial protocol.. JMIR Research Protocols, 4 3: e97.1-e97.10. doi:10.2196/resprot.2813


Author Cassimatis, Mandy
Kavanagh, David John
Hills, Andrew Paul
Smith, Anthony Carl
Scuffham, Paul A.
Gericke, Christian
Parham, Sophie
Title The OnTrack diabetes web-based program for type 2 diabetes and dysphoria self-management: a randomized controlled trial protocol.
Journal name JMIR Research Protocols   Check publisher's open access policy
ISSN 1929-0748
Publication date 2015-08-01
Year available 2015
Sub-type Article (original research)
DOI 10.2196/resprot.2813
Open Access Status DOI
Volume 4
Issue 3
Start page e97.1
End page e97.10
Total pages 10
Place of publication Toronto, ON, Canada
Publisher J M I R Publications
Language eng
Abstract Background: The prevalence of type 2 diabetes is rising with the majority of patients practicing inadequate disease self-management. Depression, anxiety, and diabetes-specific distress present motivational challenges to adequate self-care. Health systems globally struggle to deliver routine services that are accessible to the entire population, in particular in rural areas. Web-based diabetes self-management interventions can provide frequent, accessible support regardless of time and location
Formatted abstract
Background: The prevalence of type 2 diabetes is rising with the majority of patients practicing inadequate disease self-management. Depression, anxiety, and diabetes-specific distress present motivational challenges to adequate self-care. Health systems globally struggle to deliver routine services that are accessible to the entire population, in particular in rural areas. Web-based diabetes self-management interventions can provide frequent, accessible support regardless of time and location

Objective: This paper describes the protocol of an Australian national randomized controlled trial (RCT) of the OnTrack Diabetes program, an automated, interactive, self-guided Web program aimed to improve glycemic control, diabetes self-care, and dysphoria symptoms in type 2 diabetes patients.

Methods: A small pilot trial is conducted that primarily tests program functionality, efficacy, and user acceptability and satisfaction. This is followed by the main RCT, which compares 3 treatments: (1) delayed program access: usual diabetes care for 3 months postbaseline followed by access to the full OnTrack Diabetes program; (2) immediate program: full access to the self-guided program from baseline onward; and (3) immediate program plus therapist support via Functional Imagery Training (FIT). Measures are administered at baseline and at 3, 6, and 12 months postbaseline. Primary outcomes are diabetes self-care behaviors (physical activity participation, diet, medication adherence, and blood glucose monitoring), glycated hemoglobin A1c (HbA1c) level, and diabetes-specific distress. Secondary outcomes are depression, anxiety, self-efficacy and adherence, and quality of life. Exposure data in terms of program uptake, use, time on each page, and program completion, as well as implementation feasibility will be conducted.

Results: This trial is currently underway with funding support from the Wesley Research Institute in Brisbane, Australia.
Conclusions: This is the first known trial of an automated, self-guided, Web-based support program that uses a holistic approach in targeting both type 2 diabetes self-management and dysphoria. Findings will inform the feasibility of implementing such a program on an ongoing basis, including in rural and regional locations.
Keyword Randomized controlled trial (RCT)
OnTrack
Diabetes
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
 
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Created: Wed, 05 Aug 2015, 21:23:52 EST by Burke, Eliza on behalf of Centre for On-Line Health