title: Demographical, Clinical, and Psychological Characteristics of Users and Nonusers of an Online Platform for T2DM Patients (e-VitaDM-3/ZODIAC-44).
abstract: BACKGROUND
  Online platforms offer opportunities for support in changing lifestyle and taking responsibility for one's health, but engaging patients with type 2 diabetes is challenging. Previous studies have shown that patients interested in platforms were more often male, younger, and higher educated. This study aims to investigate differences in clinical and psychological characteristics between users and nonusers of a newly developed platform.
  
  
  METHODS
  A prospective study started in the Drenthe region of Netherlands. Participants in the study concerning quality of care and quality of life were additionally invited to use the platform.
  
  
  RESULTS
  633 patients were registered after they opted for platform use. Of these patients, 361 (57.0%) never logged on, 184 (29.1%) were labeled "curious" users, and 88 (13.9%) were identified as "active" users. Users had lower HbA1c levels and more often hypertension compared to nonusers, and reported higher quality of life, better well-being, lower diabetes-related distress, and better medication adherence.
  
  
  CONCLUSIONS
  Platform use was associated with more favorable clinical and psychological characteristics relative to nonuse. Those with greater severity of disease, lower mood, and progression of disease used the platform the least. Other approaches need to be developed to reach these patients. Furthermore, improving the platform could also help to reach them. This trial is registered with Clinicaltrials.gov NCT01570140.
authors.affiliation: Diabetes Centre, Isala, Zwolle, Netherlands.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Roelofsen
authors.affiliation: Department of Medical Psychology, VU University Medical Center and Academic Medical Center (AMC), Amsterdam, Netherlands.
authors.forename: Michael
authors.initials: M
authors.lastname: van Vugt
authors.affiliation: Diabetes Centre, Isala, Zwolle, Netherlands.
authors.forename: Steven H
authors.initials: SH
authors.lastname: Hendriks
authors.affiliation: Diabetes Centre, Isala, Zwolle, Netherlands.
authors.forename: Kornelis J J
authors.initials: KJ
authors.lastname: van Hateren
authors.affiliation: Diabetes Centre, Isala, Zwolle, Netherlands ; Department of General Practice, University of Groningen and University Medical Center Groningen, Groningen, Netherlands.
authors.forename: Klaas H
authors.initials: KH
authors.lastname: Groenier
authors.affiliation: Department of Medical Psychology, VU University Medical Center and Academic Medical Center (AMC), Amsterdam, Netherlands.
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Snoek
authors.affiliation: Diabetes Centre, Isala, Zwolle, Netherlands ; Department of Internal Medicine, University of Groningen and University Medical Center Groningen, Groningen, Netherlands ; Langerhans Medical Research Group, Zwolle, Netherlands.
authors.forename: Nanne
authors.initials: N
authors.lastname: Kleefstra
authors.affiliation: Institute of Healthcare Management & Policy, Erasmus University Rotterdam, Rotterdam, Netherlands.
authors.forename: Robbert
authors.initials: R
authors.lastname: Huijsman
authors.affiliation: Diabetes Centre, Isala, Zwolle, Netherlands ; Department of Internal Medicine, University of Groningen and University Medical Center Groningen, Groningen, Netherlands.
authors.forename: Henk J G
authors.initials: HJ
authors.lastname: Bilo
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000523:psychology*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011787:Quality of Health Care; D011788:Quality of Life / Q000523:psychology*; D012648:Self Care / Q000523:psychology*; D060756:Social Networking