title: Design, construction, and implementation of an online platform for patients with type 1 diabetes: EncoDiab.
abstract: OBJECTIVE
  The purpose of this study was to develop, build, and implement a virtual platform equipped with practical tools, relevant contents, and communication rooms, with the aim of facilitating patients' self-management of type 1 diabetes mellitus (T1DM).
  
  
  METHODS
  The design of the platform was based on the suggestions of T1DM patients who were being managed at two reference hospitals. Patients' needs and preferences were identified in group discussion sessions. Before having access to the platform, patients underwent a baseline assessment, which included physical examination and the administration of validated questionnaires for evaluation of clinical background, quality of life, treatment satisfaction, and well-being.
  
  
  RESULTS
  A total of 33 patients were included in the study; 54.5% of them were men, their median age was 34 (18-50) years, the median duration of diabetes was 15 (1-38) years, and the median A1C was 7.4% (6%-12.6%). Based on their suggestions and requests, the online platform EncoDiab was built and organized into four domains: a personal domain, two domains shared by the patients and the staff of each of the two participating hospitals, and one domain that was accessible to all participants. The platform included practical tools (a body mass index calculator, a carbohydrate counting tool, and an insulin-dose calculator), a library with relevant information (documents on prevention and treatment of acute complications, nutrition, exercise, etc), and a chat room.
  
  
  CONCLUSIONS
  Although the study is still ongoing, our current results demonstrate the feasibility of building and implementing an online platform for helping T1DM patients in the self-management of their disease in the public health setting.
authors.affiliation: Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas, Spain ; Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain.
authors.forename: Dácil
authors.initials: D
authors.lastname: Alvarado-Martel
authors.affiliation: Department of Endocrinology and Nutrition, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain.
authors.forename: Francesca
authors.initials: F
authors.lastname: Cañas
authors.affiliation: Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas, Spain.
authors.forename: Rebeca
authors.initials: R
authors.lastname: Velasco
authors.affiliation: Department of Endocrinology and Nutrition, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain.
authors.forename: Nuria
authors.initials: N
authors.lastname: Alcubierre
authors.affiliation: Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas, Spain ; Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: López-Ríos
authors.affiliation: Department of Endocrinology and Nutrition, Hospital Universitari Arnau de Vilanova, Lleida, Spain.
authors.forename: Ferran
authors.initials: F
authors.lastname: Rius
authors.affiliation: Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas, Spain ; Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Nóvoa
authors.affiliation: Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas, Spain ; Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain.
authors.forename: Armando
authors.initials: A
authors.lastname: Carrillo
authors.affiliation: Department of Endocrinology and Nutrition, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain ; Department of Endocrinology and Nutrition, Hospital Universitari Arnau de Vilanova, Lleida, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: Hernández
authors.affiliation: Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas, Spain ; Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain.
authors.forename: Ana María
authors.initials: AM
authors.lastname: Wägner
authors.affiliation: Hospital Universitari Germans Trias i Pujol, Badalona, Spain ; Health Sciences Research Institute Germans Trias i Pujol, Badalona, Spain.
authors.forename: Dídac
authors.initials: D
authors.lastname: Mauricio
keywords: behavioral health; eHealth; education; telehealth