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Development of the OnTrack Diabetes Program

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 diabete...

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Detalles Bibliográficos
Autores principales: Cassimatis, Mandy, Kavanagh, David J, Hills, Andrew P, Smith, Anthony C, Scuffham, Paul A, Edge, Steven, Gibson, Jeremy, Gericke, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461785/
https://www.ncbi.nlm.nih.gov/pubmed/26013840
http://dx.doi.org/10.2196/resprot.2823
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author Cassimatis, Mandy
Kavanagh, David J
Hills, Andrew P
Smith, Anthony C
Scuffham, Paul A
Edge, Steven
Gibson, Jeremy
Gericke, Christian
author_facet Cassimatis, Mandy
Kavanagh, David J
Hills, Andrew P
Smith, Anthony C
Scuffham, Paul A
Edge, Steven
Gibson, Jeremy
Gericke, Christian
author_sort Cassimatis, Mandy
collection PubMed
description 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. TRIAL REGISTRATION: The Australian New Zealand Clinical Trials Registry (ACTRN): 12614001126606; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614001126606 (Archived by WebCite at http://www.webcitation.org/6U0Fh3vOj).
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spelling pubmed-44617852015-06-19 Development of the OnTrack Diabetes Program Cassimatis, Mandy Kavanagh, David J Hills, Andrew P Smith, Anthony C Scuffham, Paul A Edge, Steven Gibson, Jeremy Gericke, Christian JMIR Res Protoc Original Paper 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. TRIAL REGISTRATION: The Australian New Zealand Clinical Trials Registry (ACTRN): 12614001126606; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614001126606 (Archived by WebCite at http://www.webcitation.org/6U0Fh3vOj). JMIR Publications Inc. 2015-05-26 /pmc/articles/PMC4461785/ /pubmed/26013840 http://dx.doi.org/10.2196/resprot.2823 Text en ©Mandy Cassimatis, David J Kavanagh, Andrew P Hills, Anthony C Smith, Paul A Scuffham, Steven Edge, Jeremy Gibson, Christian Gericke. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 26.05.2015. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Cassimatis, Mandy
Kavanagh, David J
Hills, Andrew P
Smith, Anthony C
Scuffham, Paul A
Edge, Steven
Gibson, Jeremy
Gericke, Christian
Development of the OnTrack Diabetes Program
title Development of the OnTrack Diabetes Program
title_full Development of the OnTrack Diabetes Program
title_fullStr Development of the OnTrack Diabetes Program
title_full_unstemmed Development of the OnTrack Diabetes Program
title_short Development of the OnTrack Diabetes Program
title_sort development of the ontrack diabetes program
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461785/
https://www.ncbi.nlm.nih.gov/pubmed/26013840
http://dx.doi.org/10.2196/resprot.2823
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