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Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study
BACKGROUND: The development of the Internet has created new opportunities for health care provision, including its use as a tool to aid the self-management of chronic conditions. We studied stakeholder reactions to an Internet-based “virtual clinic,” which would allow people with diabetes to communi...
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Formato: | Texto |
Lenguaje: | English |
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Gunther Eysenbach
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2047282/ https://www.ncbi.nlm.nih.gov/pubmed/17942385 http://dx.doi.org/10.2196/jmir.9.3.e23 |
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author | Armstrong, Natalie Hearnshaw, Hilary Powell, John Dale, Jeremy |
author_facet | Armstrong, Natalie Hearnshaw, Hilary Powell, John Dale, Jeremy |
author_sort | Armstrong, Natalie |
collection | PubMed |
description | BACKGROUND: The development of the Internet has created new opportunities for health care provision, including its use as a tool to aid the self-management of chronic conditions. We studied stakeholder reactions to an Internet-based “virtual clinic,” which would allow people with diabetes to communicate with their health care providers, find information about their condition, and share information and support with other users. OBJECTIVE: The aim of the study was to present the results of a detailed consultation with a variety of stakeholder groups in order to identify what they regard as the desirable, important, and feasible characteristics of an Internet-based intervention to aid diabetes self-management. METHODS: Three focus groups were conducted with 12 people with type 1 diabetes who used insulin pumps. Participants were recruited through a local diabetes clinic. One-on-one interviews were conducted with 5 health care professionals from the same clinic (2 doctors, 2 nurses, 1 dietitian) and with 1 representative of an insulin pump company. We gathered patient consensus via email on the important and useful features of Internet-based systems used for other chronic conditions (asthma, epilepsy, myalgic encephalopathy, mental health problems). A workshop to gather expert consensus on the use of information technology to improve the care of young people with diabetes was organized. RESULTS: Stakeholder groups identified the following important characteristics of an Internet-based virtual clinic: being grounded on personal needs rather than only providing general information; having the facility to communicate with, and learn from, peers; providing information on the latest developments and news in diabetes; being quick and easy to use. This paper discusses these characteristics in light of a review of the relevant literature. The development of a virtual clinic for diabetes that embodies these principles, and that is based on self-efficacy theory, is described. CONCLUSIONS: Involvement of stakeholders is vital early in the development of a complex intervention. Stakeholders have clear and relevant views on what a virtual clinic system should provide, and these views can be captured and synthesized with relative ease. This work has led to the design of a system that is able to meet user needs and is currently being evaluated in a pilot study. |
format | Text |
id | pubmed-2047282 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | Gunther Eysenbach |
record_format | MEDLINE/PubMed |
spelling | pubmed-20472822007-11-30 Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study Armstrong, Natalie Hearnshaw, Hilary Powell, John Dale, Jeremy J Med Internet Res Original Paper BACKGROUND: The development of the Internet has created new opportunities for health care provision, including its use as a tool to aid the self-management of chronic conditions. We studied stakeholder reactions to an Internet-based “virtual clinic,” which would allow people with diabetes to communicate with their health care providers, find information about their condition, and share information and support with other users. OBJECTIVE: The aim of the study was to present the results of a detailed consultation with a variety of stakeholder groups in order to identify what they regard as the desirable, important, and feasible characteristics of an Internet-based intervention to aid diabetes self-management. METHODS: Three focus groups were conducted with 12 people with type 1 diabetes who used insulin pumps. Participants were recruited through a local diabetes clinic. One-on-one interviews were conducted with 5 health care professionals from the same clinic (2 doctors, 2 nurses, 1 dietitian) and with 1 representative of an insulin pump company. We gathered patient consensus via email on the important and useful features of Internet-based systems used for other chronic conditions (asthma, epilepsy, myalgic encephalopathy, mental health problems). A workshop to gather expert consensus on the use of information technology to improve the care of young people with diabetes was organized. RESULTS: Stakeholder groups identified the following important characteristics of an Internet-based virtual clinic: being grounded on personal needs rather than only providing general information; having the facility to communicate with, and learn from, peers; providing information on the latest developments and news in diabetes; being quick and easy to use. This paper discusses these characteristics in light of a review of the relevant literature. The development of a virtual clinic for diabetes that embodies these principles, and that is based on self-efficacy theory, is described. CONCLUSIONS: Involvement of stakeholders is vital early in the development of a complex intervention. Stakeholders have clear and relevant views on what a virtual clinic system should provide, and these views can be captured and synthesized with relative ease. This work has led to the design of a system that is able to meet user needs and is currently being evaluated in a pilot study. Gunther Eysenbach 2007-08-09 /pmc/articles/PMC2047282/ /pubmed/17942385 http://dx.doi.org/10.2196/jmir.9.3.e23 Text en © Natalie Armstrong, Hilary Hearnshaw, John Powell, Jeremy Dale. Originally published in the Journal of Medical Internet Research (http://www.jmir.org, 09.08.2007). Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (http://www.creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, including full bibliographic details and the URL (see "please cite as" above), and this statement is included. |
spellingShingle | Original Paper Armstrong, Natalie Hearnshaw, Hilary Powell, John Dale, Jeremy Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study |
title | Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study |
title_full | Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study |
title_fullStr | Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study |
title_full_unstemmed | Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study |
title_short | Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study |
title_sort | stakeholder perspectives on the development of a virtual clinic for diabetes care: qualitative study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2047282/ https://www.ncbi.nlm.nih.gov/pubmed/17942385 http://dx.doi.org/10.2196/jmir.9.3.e23 |
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