Web-based structured education for type 2 diabetes: interdisciplinary user-centered design approach

<strong>Background:<br></strong> Digital health research encompasses methods from human-computer interaction and health research. <br><strong> Objective:<br></strong> This paper aims to describe how these methods were combined to develop HeLP-Diabetes: Start...

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Main Authors: Poduval, S, Ross, J, Pal, K, Newhouse, NI, Hamilton, F, Murray, E
Format: Journal article
Language:English
Published: JMIR Publications Inc. 2022
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author Poduval, S
Ross, J
Pal, K
Newhouse, NI
Hamilton, F
Murray, E
author_facet Poduval, S
Ross, J
Pal, K
Newhouse, NI
Hamilton, F
Murray, E
author_sort Poduval, S
collection OXFORD
description <strong>Background:<br></strong> Digital health research encompasses methods from human-computer interaction and health research. <br><strong> Objective:<br></strong> This paper aims to describe how these methods were combined to develop HeLP-Diabetes: Starting Out, a web-based structured education program for people newly diagnosed with type 2 diabetes. <br><strong> Methods:<br></strong> The development process consisted of three phases: initial design for effectiveness, optimization for usability, and in the wild testing in the National Health Service with people newly diagnosed with type 2 diabetes, and further revisions. We adopted an iterative user-centered approach and followed steps from the human-computer interaction design life cycle and the Medical Research Council guidelines on developing and evaluating complex interventions. <br><strong> Results:<br></strong> The initial design process resulted in an 8-session program containing information and behavior change techniques targeting weight loss, being more active, and taking medication. The usability testing was highlighted at an early stage, where changes needed to be made to the language and layout of the program. The in the wild testing provided data on uptake of and barriers to use. The study suggested low uptake and completion of the program, but those who used it seemed to benefit from it. The qualitative findings suggested that barriers to use included an expectation that the program would take too long. This informed refinements to the program. <br><strong> Conclusions:<br></strong> The use of interdisciplinary methods resulted in an iterative development process and refinements to the program that were based on user needs and data on uptake. The final intervention was more suitable for a definitive evaluation than the initial version. The description of our approach informs other digital health researchers on how to make interventions more sensitive to user needs.
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spelling oxford-uuid:aec833a0-4b10-4962-b6f1-982e1105ecd72022-03-27T03:45:01ZWeb-based structured education for type 2 diabetes: interdisciplinary user-centered design approachJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:aec833a0-4b10-4962-b6f1-982e1105ecd7EnglishSymplectic ElementsJMIR Publications Inc.2022Poduval, SRoss, JPal, KNewhouse, NIHamilton, FMurray, E<strong>Background:<br></strong> Digital health research encompasses methods from human-computer interaction and health research. <br><strong> Objective:<br></strong> This paper aims to describe how these methods were combined to develop HeLP-Diabetes: Starting Out, a web-based structured education program for people newly diagnosed with type 2 diabetes. <br><strong> Methods:<br></strong> The development process consisted of three phases: initial design for effectiveness, optimization for usability, and in the wild testing in the National Health Service with people newly diagnosed with type 2 diabetes, and further revisions. We adopted an iterative user-centered approach and followed steps from the human-computer interaction design life cycle and the Medical Research Council guidelines on developing and evaluating complex interventions. <br><strong> Results:<br></strong> The initial design process resulted in an 8-session program containing information and behavior change techniques targeting weight loss, being more active, and taking medication. The usability testing was highlighted at an early stage, where changes needed to be made to the language and layout of the program. The in the wild testing provided data on uptake of and barriers to use. The study suggested low uptake and completion of the program, but those who used it seemed to benefit from it. The qualitative findings suggested that barriers to use included an expectation that the program would take too long. This informed refinements to the program. <br><strong> Conclusions:<br></strong> The use of interdisciplinary methods resulted in an iterative development process and refinements to the program that were based on user needs and data on uptake. The final intervention was more suitable for a definitive evaluation than the initial version. The description of our approach informs other digital health researchers on how to make interventions more sensitive to user needs.
spellingShingle Poduval, S
Ross, J
Pal, K
Newhouse, NI
Hamilton, F
Murray, E
Web-based structured education for type 2 diabetes: interdisciplinary user-centered design approach
title Web-based structured education for type 2 diabetes: interdisciplinary user-centered design approach
title_full Web-based structured education for type 2 diabetes: interdisciplinary user-centered design approach
title_fullStr Web-based structured education for type 2 diabetes: interdisciplinary user-centered design approach
title_full_unstemmed Web-based structured education for type 2 diabetes: interdisciplinary user-centered design approach
title_short Web-based structured education for type 2 diabetes: interdisciplinary user-centered design approach
title_sort web based structured education for type 2 diabetes interdisciplinary user centered design approach
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AT rossj webbasedstructurededucationfortype2diabetesinterdisciplinaryusercentereddesignapproach
AT palk webbasedstructurededucationfortype2diabetesinterdisciplinaryusercentereddesignapproach
AT newhouseni webbasedstructurededucationfortype2diabetesinterdisciplinaryusercentereddesignapproach
AT hamiltonf webbasedstructurededucationfortype2diabetesinterdisciplinaryusercentereddesignapproach
AT murraye webbasedstructurededucationfortype2diabetesinterdisciplinaryusercentereddesignapproach