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eDSME: Convergence of Behavioral and Instructional Design Theory Online to Provide Diabetes Self‐Management Education/Support
Author(s) -
Brown Linda,
Ilich J
Publication year - 2015
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.29.1_supplement.910.11
Subject(s) - prediabetes , operationalization , interactivity , applied psychology , behavior change , type 2 diabetes , psychology , coaching , medical education , medicine , computer science , diabetes mellitus , multimedia , psychotherapist , social psychology , philosophy , epistemology , endocrinology
Diabetes affects 382 million people worldwide and type 2 diabetes (T2DM) predominates. The American Association of Diabetes Educators has identified seven behaviors (AADE7™) needed to reach clinical targets for people with diabetes and prediabetes. The objective of this study was to test the eDSME, a pilot web based Diabetes Self‐Management Education (DSME) and Diabetes Self‐Management Support (DSMS) intervention. eDSME utilizes theoretical constructs from instructional design and behavior change to address all AADE7™ behaviors with Web 2.0 technology (W2T). W2T allows greater interactivity and collaboration between clinician and patient. Methods used to converge these diverse disciplines are described and the first results will be presented. Lesson design follows Gagne's Events of Instruction which address the conditions necessary for adult learning.Lessons and interactivity operationalize constructs found in the Health Belief Model, Theory of Planned Behavior and the Social Cognitive Theory. Glucose meter and pedometer uploads provide data for the clinician to guide weekly coaching sessions. The expected clinical outcome is 5% reduction in A1C. Expected behavioral outcomes are reduced diabetes related distress, increased performance of AADE7™ behaviors and diabetes related self‐efficacy. To our knowledge, this is the first intervention to include DSME, DSMS and monitoring with feedback in an online environment designed for use by a clinician outside a governmental or research setting. eDSME has potential to expand the reach of clinicians and cost effectively improve clinical outcomes in patients with T2DM or prediabetes.