Poduval Shoba, Ross Jamie, Pal Kingshuk, Newhouse Nicola, Hamilton Fiona, Murray Elizabeth
Department of Primary Care & Population Health, University College London, Royal Free Campus, London, UK.
Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, UK.
Digit Health. 2020 Nov 30;6:2055207620975647. doi: 10.1177/2055207620975647. eCollection 2020 Jan-Dec.
The aim of structured education for type 2 diabetes is to improve knowledge, skills and confidence in self-management. It is recommended in the UK for everyone who is newly diagnosed with type 2 diabetes. We developed an on-line programme called HeLP-Diabetes: Starting Out to address poor uptake of face-to-face structured education. The aim of this paper is to describe the intervention in line with the Template for Intervention Description and Replication guide, which calls for better reporting of interventions.
The Template for Intervention Description and Replication guide provided the item headings for the description. These included the theoretical underpinning, materials, procedures, providers, and mode of delivery.
The programme was developed to meet NICE requirements for structured education and therefore followed a structured curriculum with four sessions covering content such as what diabetes is and how it is treated, possible complications, and how lifestyle changes can improve health. Content was delivered in text, images and video, and behaviour change techniques, self-assessment and feedback were used to help people target key health behaviours. The programme was delivered entirely online, but the team were available for support via telephone. Email feedback and reminders were sent.
The TIDieR checklist allowed us to provide a clear structure for the description of the intervention. However, it could not capture the full complexity of the programme, and intervention developers considering using it in the future may find that it needs to be adapted to make it more specific to their intervention.
2型糖尿病结构化教育的目的是提高自我管理方面的知识、技能和信心。在英国,建议每位新诊断出2型糖尿病的患者都接受该教育。我们开发了一个名为“糖尿病健康助力:入门”的在线项目,以解决面对面结构化教育参与率低的问题。本文旨在根据干预描述与复制模板指南来描述该干预措施,该指南要求对干预措施进行更完善的报告。
干预描述与复制模板指南提供了描述的项目标题。这些标题包括理论基础、材料、程序、提供者和交付方式。
该项目的开发是为了满足英国国家卫生与临床优化研究所(NICE)对结构化教育的要求,因此遵循了一个结构化课程,共四节,涵盖糖尿病是什么、如何治疗、可能出现的并发症以及生活方式的改变如何改善健康等内容。内容以文本、图像和视频的形式呈现,并运用行为改变技巧、自我评估和反馈来帮助人们针对关键健康行为采取行动。该项目完全在线交付,但团队可通过电话提供支持。同时还会发送电子邮件反馈和提醒。
TIDieR清单使我们能够为干预措施的描述提供清晰的结构。然而,它无法涵盖该项目的全部复杂性,未来考虑使用它的干预措施开发者可能会发现需要对其进行调整,使其更适用于他们的干预措施。