TY - JOUR

T1 - Feasibility and acceptability of an online guided self-determination program to improve diabetes self-management in young adults

AU - Rasmussen, Bodil

AU - Wynter, Karen

AU - Hamblin, Peter S.

AU - Rodda, Christine

AU - Steele, Cheryl

AU - Holton, Sara

AU - Zoffmann, Vibeke

AU - Currey, Judy

PY - 2023

Y1 - 2023

N2 - ObjectiveEvaluate 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). MethodsAn 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. ResultsThe 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. ConclusionThe 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.

AB - ObjectiveEvaluate 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). MethodsAn 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. ResultsThe 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. ConclusionThe 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.

KW - Diabetes

KW - young adults

KW - guided self-determination

KW - self-management

KW - online

KW - health communication

KW - Australia

KW - GLYCEMIC CONTROL

KW - CARE

KW - COMMUNICATION

KW - EMPOWERMENT

KW - MOTIVATION

KW - AUTONOMY

KW - ILLNESS

KW - SUPPORT

KW - MODEL

U2 - 10.1177/20552076231167008

DO - 10.1177/20552076231167008

M3 - Journal article

C2 - 37021125

VL - 9

JO - Digital Health

JF - Digital Health

SN - 2055-2076

ER -