Hadjiconstantinou Michelle, Schreder Sally, Brough Christopher, Northern Alison, Stribling Bernie, Khunti Kamlesh, Davies Melanie J
Diabetes Research Centre, University of Leicester, Leicester, United Kingdom.
Leicester Diabetes Centre, NHS Trust, University Hospitals of Leicester, Leicester, United Kingdom.
J Med Internet Res. 2020 May 11;22(5):e17316. doi: 10.2196/17316.
Digital health interventions (DHIs) are increasingly becoming integrated into diabetes self-management to improve behavior. Despite DHIs becoming available to people with chronic conditions, the development strategies and processes undertaken are often not well described. With theoretical frameworks available in current literature, it is vital that DHIs follow a shared language and communicate a robust development process in a comprehensive way. This paper aims to bring a unique perspective to digital development, as it describes the systematic process of developing a digital self-management program for people with type 2 diabetes, MyDESMOND. We provide a step-by-step guide, based on the intervention mapping (IM) framework to illustrate the process of adapting an existing face-to-face self-management program (diabetes education and self- management for ongoing and newly diagnosed, DESMOND) and translating it to a digital platform (MyDESMOND). Overall, this paper describes the 4 IM steps that were followed to develop MyDESMOND-step 1 to establish a planning group and a patient and public involvement group to describe the context of the intervention and program goals, step 2 to identify objectives and determinants at early design stages to maintain a focus on the strategies adopted, step 3 to generate the program components underpinned by appropriate psychological theories and models, and step 4 to develop the program content and describe the iterative process of refining the content and format of the digital program for implementation. This paper concludes with a number of key learnings collated throughout our development process, which we hope other researchers may find useful when developing DHIs for chronic conditions.
数字健康干预措施（DHIs）越来越多地被纳入糖尿病自我管理中，以改善行为。尽管慢性病患者可以使用数字健康干预措施，但所采用的开发策略和流程往往没有得到很好的描述。鉴于当前文献中有理论框架，数字健康干预措施遵循共同语言并全面传达稳健的开发过程至关重要。本文旨在为数字开发带来独特视角，因为它描述了为2型糖尿病患者开发数字自我管理计划MyDESMOND的系统过程。我们提供了一份基于干预映射（IM）框架的分步指南，以说明将现有的面对面自我管理计划（糖尿病教育与持续及新诊断患者的自我管理，DESMOND）进行调整并转化为数字平台（MyDESMOND）的过程。总体而言，本文描述了开发MyDESMOND所遵循的IM的4个步骤——步骤1，成立一个规划小组以及一个患者和公众参与小组，以描述干预的背景和计划目标；步骤2，在早期设计阶段确定目标和决定因素，以保持对所采用策略的关注；步骤3，生成由适当的心理学理论和模型支持的计划组件；步骤4，开发计划内容并描述完善数字计划的内容和格式以供实施的迭代过程。本文最后总结了我们在整个开发过程中整理出的一些关键经验教训，希望其他研究人员在为慢性病开发数字健康干预措施时可能会发现这些经验教训很有用。
