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The OnTrack Diabetes Web-Based Program for Type 2 Diabetes and Dysphoria Self-Management: A Randomized Controlled
Mandy Cassimatis1, David John Kavanagh, Andrew Paul Hills
1The Wesley Health and Medical Research Centre, Rural and remote health centre, Brisbane, Australia. mandy.cassimatis@usq.edu.au.
JMIR Research Protocols
|August 6, 2015
Summary
This study tests the OnTrack Diabetes program, a web-based intervention for type 2 diabetes self-management and mood. Findings will assess its feasibility for improving patient care, especially in rural areas.
Area of Science:
- Digital health interventions
- Clinical psychology
- Endocrinology
Background:
- Rising type 2 diabetes prevalence necessitates improved self-management strategies.
- Depression, anxiety, and diabetes distress impede effective self-care.
- Web-based interventions offer accessible support for diabetes management.
Purpose of the Study:
- To describe the protocol for an Australian RCT of the automated, interactive OnTrack Diabetes program.
- To evaluate the program's impact on glycemic control, self-care, and dysphoria in type 2 diabetes patients.
Main Methods:
- A pilot trial assessed program functionality, efficacy, and user satisfaction.
- The main RCT compares delayed access, immediate access, and immediate access with therapist support (FIT).
- Outcomes include diabetes self-care behaviors, HbA1c, distress, depression, anxiety, and quality of life, measured over 12 months.
Main Results:
- The trial is currently in progress, funded by the Wesley Research Institute, Australia.
Conclusions:
- This is the first trial of an automated, self-guided web program addressing both diabetes self-management and dysphoria.
- Results will guide the implementation feasibility of such programs, particularly in rural and regional settings.
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