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EatSmart, a Web-Based and Mobile Healthy Eating Intervention for Disadvantaged People With Type 2 Diabetes: Protocol for a Pilot Mixed Methods Intervention Study.

作者信息

Karimi Nazgol, Crawford David, Opie Rachelle, Maddison Ralph, O'Connell Stella, Hamblin Peter Shane, Ng Ashley Huixian, Steele Cheryl, Rasmussen Bodil, Ball Kylie

机构信息

Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia.

Diabetes & Endocrinology Centre, Sunshine Hospital, St Albans, Australia.

出版信息

JMIR Res Protoc. 2020 Nov 6;9(11):e19488. doi: 10.2196/19488.


DOI:10.2196/19488
PMID:33155571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7679211/
Abstract

BACKGROUND: People of low socioeconomic position (SEP) are disproportionately affected by type 2 diabetes (T2D), partly due to unhealthy eating patterns that contribute to inadequate disease self-management and prognosis. Digital technologies have the potential to provide a suitable medium to facilitate diabetes education, support self-management, and address some of the barriers to healthy eating, such as lack of nutritional knowledge or shopping or cooking skills, in this target group. OBJECTIVE: This study aims to test the feasibility, appeal, and potential effectiveness of EatSmart, a 12-week, evidence-based, theoretically grounded, fully automated web-based and mobile-delivered healthy eating behavior change program to help disadvantaged people living with T2D to eat healthily on a budget and improve diabetes self-management. METHODS: EatSmart is a mixed methods (quantitative and qualitative) pre-post design pilot study. Sixty socioeconomically disadvantaged people with T2D aged 18 to 75 years will be recruited. Participants will complete self-reported baseline assessments of their basic demographic and clinical data, dietary intake, dietary self-efficacy, and barriers to healthy eating. They will be provided with login access to the EatSmart web program, which includes six progressive skill-based modules covering healthy eating planning; smart food budgeting and shopping; time-saving meal strategies, healthy cooking methods, modifying recipes; and a final reinforcement and summary module. Over the 3-month intervention, participants will also receive 3 text messages weekly, encouraging them to review goals, continue to engage with different components of the EatSmart web program, and eat healthily. Participants will undertake follow-up assessments directly following the intervention 3 months post baseline and again after a 6-month postintervention follow-up period (9 months post baseline). Feasibility will be evaluated using the number of participants recruited and retained and objective indicators of engagement with the website. Program appeal and potential effects on primary and secondary outcomes will be assessed via the same surveys used at baseline, with additional questions asking about experience with and perceptions of the program. In-depth qualitative interviews will also be conducted 6 months post intervention to provide deeper insight into experiences with EatSmart and a more comprehensive description of the program's appeal. RESULTS: The EatSmart website has been developed, and all participants have viewed the modules as of May 2020. Results are expected to be submitted for publication in December 2020. CONCLUSIONS: This study will provide data to address the currently limited evidence regarding whether disadvantaged populations with T2D may benefit from digitally delivered behavior change programs that facilitate eating healthily on a budget. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry, ACTRN12619001111167; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12619001111167. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/19488.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9963/7679211/d6f8cdf50173/resprot_v9i11e19488_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9963/7679211/90be1fe03be4/resprot_v9i11e19488_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9963/7679211/d6f8cdf50173/resprot_v9i11e19488_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9963/7679211/90be1fe03be4/resprot_v9i11e19488_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9963/7679211/d6f8cdf50173/resprot_v9i11e19488_fig2.jpg

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EatSmart, a Web-Based and Mobile Healthy Eating Intervention for Disadvantaged People With Type 2 Diabetes: Protocol for a Pilot Mixed Methods Intervention Study.

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引用本文的文献

[1]
A co-designed website (FindWays) to improve mental health literacy of parents of children with mental health problems: Protocol for a pilot randomised controlled trial.

PLoS One. 2023

[2]
Participants' and Health Care Providers' Insights Regarding a Web-Based and Mobile-Delivered Healthy Eating Program for Disadvantaged People With Type 2 Diabetes: Descriptive Qualitative Study.

JMIR Form Res. 2023-1-4

本文引用的文献

[1]
What do people with type 2 diabetes want from a brief messaging system to support medication adherence?

Patient Prefer Adherence. 2019-9-30

[2]
Users' acceptability of a mobile application for persons with type 2 diabetes: a qualitative study.

BMC Health Serv Res. 2019-9-6

[3]
Intervention Mapping: Theory- and Evidence-Based Health Promotion Program Planning: Perspective and Examples.

Front Public Health. 2019-8-14

[4]
The REDCap consortium: Building an international community of software platform partners.

J Biomed Inform. 2019-5-9

[5]
Perceptions and Acceptability of Text Messaging for Diabetes Care in Primary Care in Argentina: Exploratory Study.

JMIR Diabetes. 2019-3-18

[6]
Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary healthcare: protocol for a cluster randomised controlled trial.

BMJ Open. 2018-6-4

[7]
Assessing the feasibility, acceptability, and potential effectiveness of a behavioral-automaticity focused lifestyle intervention for African Americans with metabolic syndrome: The Pick two to Stick to protocol.

Contemp Clin Trials Commun. 2017-6-24

[8]
A Diabetes Mobile App With In-App Coaching From a Certified Diabetes Educator Reduces A1C for Individuals With Type 2 Diabetes.

Diabetes Educ. 2018-3-24

[9]
IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045.

Diabetes Res Clin Pract. 2018-2-26

[10]
The obesity epidemic and rising diabetes incidence in a low-income racially diverse southern US cohort.

PLoS One. 2018-1-11

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