title: Development and Evaluation of a Computer-Based, Self-Management Tool for People Recently Diagnosed with Type 2 Diabetes.
abstract: Aim. The purpose of this study was to develop and evaluate a computer-based, dietary, and physical activity self-management program for people recently diagnosed with type 2 diabetes. Methods. The computer-based program was developed in conjunction with the target group and evaluated in a 12-week randomised controlled trial (RCT). Participants were randomised to the intervention (computer-program) or control group (usual care). Primary outcomes were diabetes knowledge and goal setting (ADKnowl questionnaire, Diabetes Obstacles Questionnaire (DOQ)) measured at baseline and week 12. User feedback on the program was obtained via a questionnaire and focus groups. Results. Seventy participants completed the 12-week RCT (32 intervention, 38 control, mean age 59 (SD) years). After completion there was a significant between-group difference in the "knowledge and beliefs scale" of the DOQ. Two-thirds of the intervention group rated the program as either good or very good, 92% would recommend the program to others, and 96% agreed that the information within the program was clear and easy to understand. Conclusions. The computer-program resulted in a small but statistically significant improvement in diet-related knowledge and user satisfaction was high. With some further development, this computer-based educational tool may be a useful adjunct to diabetes self-management. This trial is registered with clinicaltrials.gov NCT number NCT00877851.
authors.affiliation: Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.
authors.forename: Alison O
authors.initials: AO
authors.lastname: Booth
authors.affiliation: Food and Health Communications, North Yorkshire YO62 6BH, UK.
authors.forename: Carole
authors.initials: C
authors.lastname: Lowis
authors.affiliation: Regional Centre for Endocrinology and Diabetes, Belfast Health and Social Care Trust, Royal Victoria Hospital, Belfast BT12 6BA, UK.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Hunter
authors.affiliation: School of Biological Sciences, Queen's University Belfast, Belfast BT9 5AG, UK.
authors.forename: Moira
authors.initials: M
authors.lastname: Dean
authors.affiliation: Centre for Public Health, School of Medicine, Dentistry & Biomedical Science, Queen's University Belfast, Belfast BT12 6BJ, UK.
authors.forename: Chris R
authors.initials: CR
authors.lastname: Cardwell
authors.affiliation: Centre for Public Health, School of Medicine, Dentistry & Biomedical Science, Queen's University Belfast, Belfast BT12 6BJ, UK.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: McKinley
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004032:Diet; D015930:Diet Records; D015444:Exercise; D005260:Female; D006040:Goals; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D036301:Qualitative Research; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D013813:Therapy, Computer-Assisted / Q000379:methods*