Evalutating an educational care pathway supported by the diabetes box for patients with type 2 diabetes

A pilot and feasibility study

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Abstract

The thesis consists of six chapters, including the introduction (Chapter 1), a literature study about the current state of e-health interventions in T2DM care (Chapter 2), the study design of the pilot study (Chapter 3) and the results of the pilot study about the educational care pathway (Chapters 4, 5 and 6). The pathway consists of three aspects: education, self-monitoring and a smartphone application. Education consists of group consultations organized by healthcare providers and individual consultations with a dietitian. In addition, online education videos are added. The pathway is supported with self-monitoring devices: a blood pressure monitor and an activity tracker. Included patients were already in possession of a flash glucose monitor. Furthermore, the pathway is supported by a smartphone app to bring it all together. The pathway is presented to patients in form of the DiaBox, which includes the devices and additional information to take home. Acceptability, usability and feasibility of the care pathway for both patients and healthcare professionals will be studied in this pilot study. These results will be displayed in Chapter 4. Secondary aims are to assess preliminary effects on perceived learning about diabetes and lifestyle factors related to T2DM, patient activation towards diabetes self-management and glucose regulation. These results will be displayed in Chapter 5. In addition, these results will be used to determine if the pathway and DiaBox are suitable for further large scale research. Necessary adaptations and improvements of the pathway and box will also be described, which will be further elaborated on in Chapter 6.