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A web-based program to improve treatment adherence in patients with type 2 diabetes: Development and study protocol.

S Vluggen1, C Hoving1, N C Schaper2

  • 1Department of Health Promotion, School CAPHRI, Maastricht University, Maastricht, the Netherlands.

Contemporary Clinical Trials
|October 6, 2018
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Summary

This study developed My Diabetes Profile (MDP), a web-based program offering tailored advice to improve type 2 diabetes mellitus (T2DM) management. The randomized trial will assess MDP

Keywords:
Computer-tailoringEffect evaluationRandomized controlled trialStudy protocolTreatment adherenceType 2 diabetes

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Area of Science:

  • Digital Health Interventions
  • Diabetes Management
  • Behavioral Science

Background:

  • Suboptimal adherence to lifestyle and medication is common in type 2 diabetes mellitus (T2DM).
  • Web-based interventions show promise for improving health behaviors.
  • Effective interventions require tailoring to individual needs and preferences.

Purpose of the Study:

  • To describe the development of the My Diabetes Profile (MDP) program.
  • To outline the protocol for a randomized multicentre trial testing MDP's effectiveness.
  • To enhance adherence to diet, physical activity, and medication in T2DM patients.

Main Methods:

  • Formative research, including co-creation with patients and professionals, guided MDP development.
  • MDP utilizes tailored video and text advice based on the I-Change Model.
  • A randomized controlled trial (RCT) will compare MDP access to usual care in T2DM patients.

Main Results:

  • Co-creation emphasized the need for short, engaging messages, leading to a video and text format.
  • Pilot testing refined the MDP program for patient and professional usability.
  • The RCT protocol is established for evaluating MDP's impact on T2DM self-management.

Conclusions:

  • The co-creation approach was crucial for developing a patient-centered digital intervention.
  • MDP is designed to address key determinants of T2DM self-care.
  • The RCT will provide evidence on the effectiveness of MDP in improving T2DM outcomes.