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Development of the OnTrack Diabetes Program


Cassimatis, M and Kavanagh, DJ and Hills, AP and Smith, AC and Scuffham, PA and Edge, S and Gibson, J and Gerickle, C, Development of the OnTrack Diabetes Program, JMIR Research Protocols, 4, (2) Article e24. ISSN 1929-0748 (2015) [Refereed Article]

DOI: doi:10.2196/resprot.2823


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.

Item Details

Item Type:Refereed Article
Keywords:Internet; anxiety; depression; intervention; online; protocol; randomized; self-management; type 2 diabetes
Research Division:Biomedical and Clinical Sciences
Research Group:Nutrition and dietetics
Research Field:Public health nutrition
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Public health (excl. specific population health) not elsewhere classified
UTAS Author:Hills, AP (Professor Andrew Hills)
ID Code:109164
Year Published:2015
Web of Science® Times Cited:2
Deposited By:Health Sciences
Deposited On:2016-05-31
Last Modified:2021-03-22

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