Feasibility and acceptability of an online guided self-determination program to improve diabetes self-management in young adults

Bodil Rasmussen*, Karen Wynter, Peter S Hamblin, Christine Rodda, Cheryl Steele, Sara Holton, Vibeke Zoffmann, Judy Currey

*Corresponding author for this work
    1 Citation (Scopus)

    Abstract

    OBJECTIVE: Evaluate the feasibility and acceptability of an online guided self-determination (GSD) program to improve diabetes self-management skills among young adults with type 1 diabetes (YAD).

    METHODS: An online program comprising seven structured interactive conversations was designed. A pre- and post- interventional study used a sequential, two-phase multiple method design. Phase one comprised a training program for diabetes educators (DEs). In Phase two YAD participated in program and completed pre- and post-surveys assessing motivation to self-manage, perceived competence in diabetes and communication with DEs. Both YAD and DEs provided a program evaluation.

    RESULTS: The online GSD program was acceptable, feasible and effective in improving autonomous motivation in self-management and communication with DEs. Easy access and program flexibility were highly appreciated by both participant groups and perceived to assist YAD to stay motivated.

    CONCLUSION: The program had a significant impact on the diabetes self-management of YAD and was a feasible and acceptable way to engage and communicate with DEs. The GSD platform contributes to age appropriate and person-centred diabetes self-management. It can potentially reach geographically distanced populations, or with social circumstances or other barriers impeding in-person service provision.

    Original languageEnglish
    JournalDigital Health
    Volume9
    Pages (from-to)1-10
    Number of pages10
    ISSN2055-2076
    DOIs
    Publication statusPublished - 2023

    Keywords

    • Australia
    • Diabetes
    • guided self-determination
    • health communication
    • online
    • self-management
    • young adults

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