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Feasibility, Acceptability, and Impact of a Web-Based Structured Education Program for Type 2 Diabetes: Real-World
Shoba Poduval1, Louise Marston2, Fiona Hamilton1
1Research Department of Primary Care and Population Health, University College London, London, United Kingdom.
JMIR Diabetes
|January 7, 2020
Summary
A new web-based program for type 2 diabetes education, Healthy Living for People with type 2 Diabetes (HeLP-Diabetes): Starting Out (HDSO), was feasible and acceptable. However, low uptake and completion rates limit its population impact.
Area of Science:
- Digital Health Interventions
- Diabetes Self-Management Education
- Public Health
Background:
- Structured education improves type 2 diabetes outcomes but has low global uptake.
- In 2016, only 8.3% of referred individuals in the UK attended diabetes education.
- A web-based program, HeLP-Diabetes: Starting Out (HDSO), was developed to increase access.
Purpose of the Study:
- To assess the feasibility and acceptability of delivering HDSO in primary care.
- To evaluate the program's impact on self-efficacy and diabetes-related distress.
Main Methods:
- HDSO was integrated into routine UK primary care diabetes services.
- Quantitative data on uptake, usage, self-efficacy, and distress were collected.
- Qualitative interviews explored acceptability with patients and healthcare professionals.
Main Results:
- The program was feasible to deliver, with 791 individuals registered.
- Completion rates were low (9.0%, 74/791).
- Completers showed significant improvements in self-efficacy (P=.001) and reduced distress (P=.001).
Conclusions:
- Web-based structured education (HDSO) is feasible and acceptable.
- Low uptake and completion rates restrict population-level impact.
- Further research is needed to enhance completion and compare web-based vs. face-to-face effectiveness.
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