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Evaluation of a web-based platform for diabetes type 2 patients : investigating the uptake, use and effects of Floor with a mixed-methods approach

Sensendorf, Tim (2019) Evaluation of a web-based platform for diabetes type 2 patients : investigating the uptake, use and effects of Floor with a mixed-methods approach.

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Abstract:Background: Type 2 Diabetes Mellitus (T2DM) is a chronic condition with an increasing prevalence worldwide. eHealth is an option for new ways of prevention and treatment and to improve the patient’s selfmanagement. Problem: There is a knowledge gap in how a combination of conceptual behavioural change models and digital encounters with nutritionists in web-based platform is used among T2DM patients and in how far it can contribute to support healthy lifestyles. Aim of the study: The aim is to investigate the platform’s uptake, use and effects to estimate the platform’s role and chance to improve the current way of practice. Methods: The platform Floor was analysed by performing an explanatory sequential mixed method. The uptake, use and effects were investigated by combining quantitative data of a log data analysis with 233 users and qualitative data of semi-structured interviews with five users and three mentors to identify the current way of use and possible points of improvements and recommendations. Results: The uptake was comparable to other platforms with 101 users enrolled in the platform in a period of almost 11 months. According to the users of the platform, the biggest barriers hereby were a missing vision of the platform and an unclear presentation of costs. The use of components was low, and the platform was not used as intended by the developers. The interaction among users and mentors were highlighted by the interviewees. However, the components that are based on behavioural change theories were less used and appreciated. There were small effects found in the users’ reduction of their Body Mass Index (BMI), but no effect was found in behavioural changes. Conclusion: All in all, it can be said that the platform Floor shows small indications to improve the current way of supporting people with T2DM. Most importantly, it not only the choice of underlying behavioural change theories that contributes to a platform’s uptake and use. Rather, the way how these theories are implemented in the platform are crucial for further development.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:01 general works, 44 medicine
Programme:Health Sciences MSc (66851)
Link to this item:https://purl.utwente.nl/essays/79705
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