Abstract
BackgroundSelf-management is recognized as the cornerstone of overall diabetes management. Web-based self-management programs have the potential of supporting type 2 diabetes patients with managing their diabetes and reducing the workload for the care provider, where the addition of online coaching could improve patient motivation and reduce program attrition. This study aims to test the hypothesis that a web-based self-management program with coaching will prove more effective on improving patient self-management behavior and clinical outcome measures than a web-based self-management program without coaching.MethodsThe effects of a web-based self-management program with and without coaching will be tested with a nested randomized controlled trial within a healthcare group in the Netherlands. In one year 220 type 2 diabetes patients will be randomized into an intervention group (n = 110) or a control group (n = 110). The control group will receive only the online self-management program. The intervention group will receive the online self-management program and additional online coaching. Participants will be followed for one year, with follow-up measurements at 6 and 12 months.DiscussionThe intervention being tested is set to support type 2 diabetes patients with their diabetes self-management and is expected to have beneficial effects on self-care activities, well being and clinical outcomes. When proven effective this self-management support program could be offered to other health care groups and their type 2 diabetes patients in the Netherlands.Trial registrationNederlands Trial Register NTR4064
Highlights
Self-management is recognized as the cornerstone of overall diabetes management
We aim to test the hypothesis that self-management behaviors and biomedical outcomes improve in the group receiving an online self-management program with adaptive coaching versus those who don’t receive additional adaptive coaching
Study design The current study design is nested within an ongoing cohort and intervention study, that focus on different constructs within the interactive care platform (ICP) [29]
Summary
Study design The current study design is nested within an ongoing cohort and intervention study, that focus on different constructs within the ICP [29]. Patients are prompted to evaluate their behavioral goals and action plans, based on graded tasks and barrier identification with help from the SSP. Intervention group Hundred and ten randomized patients are offered the ICP with additional online (asynchronized) coaching to receive feedback on behavioral goals, action plans and evaluation of the executed health behaviors. These goals and planned health behaviors are chosen by the patient. ICP use during the study period will be measured using: number of log-ons, time spent per session, number of educational modules taken, number of coaching feedback received, number of goals set and adjusted. Given an expected drop out rate of 20%, we will include at least 220 patients in our RCT, 110 patients in each group
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