Evaluating the implementation of HeLP-Diabetes within NHS services: study protocol

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• 作者：Jamie Ross (16)
  Fiona Stevenson (16)
  Charlotte Dack (16)
  Kingshuk Pal (16)
  Carl May (17)
  Susan Michie (18)
  Steve Parrott (19)
  Elizabeth Murray (16)
  
• 关键词：Implementation ; Diabetes ; Health services research ; Internet ; Self ; management
• 刊名：BMC Health Services Research
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：208 KB
• 作者单位：Jamie Ross (16)
  Fiona Stevenson (16)
  Charlotte Dack (16)
  Kingshuk Pal (16)
  Carl May (17)
  Susan Michie (18)
  Steve Parrott (19)
  Elizabeth Murray (16)
  
  16. 1e-Health Unit, UCL Research Department of Primary Care & Population Health, Royal Free Hospital, Upper 3rd Floor, Rowland Hill Street, London, NW3 2PF,m, UK
  17. Faculty of Health Sciences, University of Southampton, Highfield, Southampton, SO17 1BJ, UK
  18. Centre for Outcomes Research and Effectiveness Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
  19. Department of Health Sciences, University of York, Seebohm Rowntree Building, York, YO10 5DD, UK
  
• ISSN：1472-6963

文摘

Background Self-management by people with type 2 diabetes is central to good health outcomes and the prevention of associated complications. Structured education to teach self-management is recommended by the National Institute for Heath and Clinical Excellence; however, only a small proportion of patients report being offered this education and even fewer attend. This study aims to evaluate the implementation of a new internet-based self-management intervention: HeLP-Diabetes (Healthy Living for People with type 2 Diabetes) within the National Health Service. Specific objectives are to a) determine the uptake and use of HeLP-Diabetes by services and patients; b) identify the factors which inhibit or facilitate use; c) identify the resources needed for effective implementation; d) explore possible effects of HeLP-Diabetes use on self-reported patient outcome measures. Methods/Design This study will use an iterative design to implement HeLP-Diabetes into existing health services within the National Health Service. A two stage implementation process will be taken, whereby batches of General Practice surgeries and diabetes clinics will be offered HeLP-Diabetes and will subsequently be asked to participate in evaluating the implementation. We will collect data to describe the number of services and patients who sign up to HeLP-Diabetes, the types of services and patients who sign up and the implementation costs. Semi-structured interviews will be conducted with patients and health professionals and cohorts of patient participants will be asked to complete self-report measures at baseline, 3 months, and 12 months. Discussion This study will evaluate the implementation of a new online self-management intervention and describe what happens when it is made available to existing National Health Services and patients with type 2 diabetes. We will collect data to describe the uptake and use of the intervention and the resources needed for widespread implementation. We will report on patient benefits from using HeLP-Diabetes and the resources needed to achieve these in routine practice. Interviews with key stake holders will identify, define and explain factors that promote or inhibit the normalization of new patterns of patient and professional activity arising from HeLP-Diabetes.