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Background: Digital health interventions have potential to contribute to better health outcomes, better healthcare and lower costs. However, evidence for their effectiveness is variable. The development and content of digital health interventions are often not described in enough detail to enable others to replicate the research or improve on previous interventions. This has led to a call for transparent reporting of intervention content and development. Purpose: To describe the development process and content of a digital self-management intervention for people with type 2 diabetes (HeLP-Diabetes) that has been found to achieve its target clinical outcome, the reduction of HbA1c, a measure of glycaemic control. Method: We synthesised theory, data from existing research evidence and international guidelines, and new qualitative data from target users to identify the determinants of self-management and the content to be included in HeLP-Diabetes. Using an ongoing iterative participatory design approach the content of the intervention was written, produced, reviewed and changed. Conclusion: It is possible to develop and transparently report self-management programmes for long-term conditions, which reflect current best evidence, theoretical underpinning and user involvement. We intend that reporting the development process and content will inform future digital intervention development.

Original publication

DOI

10.1016/j.invent.2019.100241

Type

Journal article

Journal

Internet Interv

Publication Date

09/2019

Volume

17

Keywords

CBT, Cognitive Behaviour Therapy, Diabetes mellitus, type 2, Digital intervention development, HCPs, Health Care Professionals, HeLP Diabetes, Healthy Living for People with Type 2 Diabetes, HealthTalk Online, HTO, Internet, LLTTF, Living Life to the Full, MRC, Medical Research Council, NICE, National Institute for Health Care Excellence, NPT, Normalisation Process Theory, Participatory design, Patient education as topic, RNIB, Royal National Institute of Blind People, Self-management, T2DM, Type 2 diabetes mellitus