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Online structured education for people newly diagnosed with type 2 diabetes

Poduval, Shoba; (2019) Online structured education for people newly diagnosed with type 2 diabetes. Doctoral thesis (Ph.D), UCL (University College London). Green open access

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Abstract

Background: More people than ever have type 2 diabetes (T2DM) and the number is growing. Structured education reduces the risk of complications, and it is National Health Service (NHS) policy that newly diagnosed patients are referred to a structured education programme. Uptake to group-based courses is low. The internet could help surmount barriers to accessing courses. HeLPDiabetes: Starting Out is an online structured education programme for T2DM. // Aim: The overall aim of the thesis was to develop, optimise and formatively evaluate an online structured education programme for people newly diagnosed with T2DM called HeLP-Diabetes: Starting Out. // Methods: The thesis was guided by the Medical Research Council guidance for complex interventions, and human-computer interaction theory. The thesis aim was achieved through a series of four empirical studies, addressing the development and evaluation of the intervention. A theoretically-informed first iteration of the programme was developed, and evaluated. The results informed the optimisation of the programme, and the development of a second iteration. The second iteration of the programme was evaluated using mixed methods, during its implementation in NHS primary care. Additionally, I developed and evaluated strategies for reducing patient dropout between registration and completion of the programme. In order to look for evidence of a digital divide, I analysed usage data to compare webpage visits of patients with different demographic characteristics. // Results: Evaluation of the programme demonstrated that online structured education was feasible, and that different demographic groups were able to use the programme. Patients who completed the programme improved their selfefficacy and emotional distress. Problems with uptake and patient dropout were identified. // Discussion: The results have informed recommendations for a fully optimised programme, suitable for evaluation in a Phase 3 randomised controlled trial, to compare online with face-to-face structured education.

Type: Thesis (Doctoral)
Qualification: Ph.D
Title: Online structured education for people newly diagnosed with type 2 diabetes
Event: UCL (University College London)
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10066859
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