Kontakt 2022, 24(2):123-130 | DOI: 10.32725/kont.2022.017

Mixed-methods research on diabetes patient health education using digital technologiesNursing - Review article

Ajda Cenčič1 *, Mirko Prosen2, Sabina Ličen2
1 Diabetes Outpatient Clinic, Primary Healthcare Center Koper, Koper, Slovenia
2 University of Primorska, Faculty of Health Sciences, Department of Nursing, Izola, Slovenia

Introduction: Digital health interventions have the potential to improve access to educational programmes. In digital health research, mixed-methods approaches are effective as they illuminate problems from multiple perspectives.

Aim: The aim of this scoping review was to examine the extent of mixed-methods research on the use of digital technologies in diabetes education for patients with type 2 diabetes.

Methods: We identified 10 relevant articles through a search in the PubMed, EBSCO and ScienceDirect electronic databases using the following terms: "type 2 diabetes AND (internet OR web based) AND education AND mixed method", and "type 2 diabetes AND diabetes self-management education AND (web-based OR internet OR technology assisted education) AND mixed method", and "diabetes mellitus, type 2 [MeSH Terms] AND internet [MeSH Terms] AND education [MeSH Terms] AND mixed method".

Results: The most frequently used qualitative method was an in-depth interview combined with a quantitative data survey. The most frequently used intervention was the use of websites.

Conclusions: Considering the high prevalence of diabetes and considerable increase in the use of new technologies, we identified only a small number of studies. Future studies should focus more on participants' experiences and on factors encouraging patients to participate in such educational programmes, as well as on identifying the most effective online educational tools. Studies should also use larger samples.

Keywords: Diabetes mellitus type 2; Diabetes self-management education; Qualitative and quantitative methods; Telenursing
Conflicts of interest:

The authors have no conflict of interests to declare.

Received: October 31, 2021; Revised: February 25, 2022; Accepted: May 30, 2022; Prepublished online: June 9, 2022; Published: June 15, 2022  Show citation

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Cenčič A, Prosen M, Ličen S. Mixed-methods research on diabetes patient health education using digital technologies. Kontakt. 2022;24(2):123-130. doi: 10.32725/kont.2022.017.
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    References

    1. Adams K, Liebzeit A, Browne J, Atkinson P (2017). How's Your Sugar? Evaluation of a Website for Aboriginal People with Diabetes. JMIR Diabetes 2(1): e6. DOI: 10.2196/diabetes.6930. Go to original source... Go to PubMed...
    2. American Diabetes Association (2018). 4. Lifestyle Management: Standards of Medical Care in Diabetes-2018. Diabetes Care 41(Suppl. 1): S38-S50. DOI: 10.2337/dc18-S004. Go to original source... Go to PubMed...
    3. American Diabetes Association (2021). 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes-2021. Diabetes Care 44(Suppl. 1): S53-S72. DOI: 10.2337/dc21-S005. Go to original source... Go to PubMed...
    4. Attridge M, Creamer J, Ramsden M, Cannings-John R, Hawthorne K (2014). Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus. Cochrane Database Syst Rev 4(9): CD006424. DOI: 10.1002/14651858.CD006424.pub3. Go to original source... Go to PubMed...
    5. Bergner EM, Nelson LA, Rothman RL, Mayberry L (2017). Text Messaging May Engage and Benefit Adults with Type 2 Diabetes Regardless of Health Literacy Status. Health Lit Res Pract 1(4): e192-e202. DOI: 10.3928/24748307-20170906-01. Go to original source... Go to PubMed...
    6. Carter EL, Nunlee-Bland G, Callender C (2011). A Patient-Centric, Provider-Assisted Diabetes Telehealth Self-management Intervention for Urban Minorities. Perspect Health Inf Manag 8(Winter): 1b.
    7. Cauch-Dudek K, Victor JC, Sigmond M, Shah BR (2013). Disparities in attendance at diabetes self-management education programs after diagnosis in Ontario, Canada: a cohort study. BMC Public Health 13: 85. DOI: 10.1186/1471-2458-13-85. Go to original source... Go to PubMed...
    8. Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, Malanda B (2018). IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract 138: 271-281. DOI: 10.1016/j.diabres.2018.02.023. Go to original source... Go to PubMed...
    9. Clark RC, Mayer RE (2016). e-Learning and the Science of Instruction: Proven Guidelines for Consumers and Designers of Multimedia Learning. New Jersey: John Wiley & Sons, p. 7. Go to original source...
    10. Coonrod BA, Betschart J, Harris MI (1994). Frequency and determinants of diabetes patient education among adults in the U.S. population. Diabetes Care 17(8): 852-858. DOI: 10.2337/diacare.17.8.852. Go to original source... Go to PubMed...
    11. da Silva E (2017). Internet and information technology use in diabetes education. Austin Diabetes Res 2(1): 1012.
    12. Doyle L, Brady A-M, Byrne G (2009). An overview of mixed methods research. J Res Nurs 14: 175-185. DOI: 10.1177/1744987108093962. Go to original source...
    13. Fan L, Sidani S (2018). Factors Influencing Preferences of Adults with Type 2 Diabetes for Diabetes Self-Management Education Interventions. Can J Diabetes 42(6): 645-651. DOI: 10.1016/j.jcjd.2018.04.003. Go to original source... Go to PubMed...
    14. Georgsson M, Staggers N (2016). An evaluation of patients' experienced usability of a diabetes mHealth system using a multi-method approach. J Biomed Inform 59: 115-129. DOI: 10.1016/j.jbi.2015.11.008. Go to original source... Go to PubMed...
    15. Gucciardi E, DeMelo M, Offenheim A, Grace SL, Stewart DE (2007). Patient factors associated with attrition from a self-management education programme. J Eval Clin Pract 13(6): 913-919. DOI: 10.1111/j.1365-2753.2006.00773.x. Go to original source... Go to PubMed...
    16. Heinrich E, de Nooijer J, Schaper NC, Schoonus-Spit MHG, Janssen MAJ, de Vries NK (2012). Evaluation of the web-based Diabetes Interactive Education Programme (DIEP) for patients with type 2 diabetes. Patient Educ Couns 86(2): 172-178. DOI: 10.1016/j.pec.2011.04.032. Go to original source... Go to PubMed...
    17. Hesse-Biber SN (2010). Mixed Methods Research: Merging Theory with Practice. New York, NY: Guilford Press, pp. 3-9.
    18. Hofmann M, Dack C, Barker C, Murray E (2016). The Impact of an Internet-Based Self-Management Intervention (HeLP-Diabetes) on the Psychological Well-Being of Adults with Type 2 Go to original source...
    19. Diabetes: A Mixed-Method Cohort Study. J Diabetes Res 2016: 1476384. DOI: 10.1155/2016/1476384. Go to original source... Go to PubMed...
    20. Johnson RB, Onwuegbuzie AJ, Turner LA (2007). Toward a Definition of Mixed Methods Research. J Mix Methods Res 1: 112-133. DOI: 10.1177/1558689806298224. Go to original source...
    21. Meissner H, Creswell J, Klassen AC, Plano Clark V, Smith KC (2011). Best practices for mixed methods research in the health sciences. National Institutes of Health 29: 4-10. Go to original source...
    22. Nelson LA, Mulvaney SA, Johnson KB, Osborn CY (2017). mHealth Intervention Elements and User Characteristics Determine Utility: A Mixed-Methods Analysis. Diabetes Technol Ther 19(1): 9-17. DOI: 10.1089/dia.2016.0294. Go to original source... Go to PubMed...
    23. Nijland N, van Gemert-Pijnen JE, Kelders SM, Brandenburg BJ, Seydel ER (2011). Factors influencing the use of a Web-based application for supporting the self-care of patients with type 2 diabetes: a longitudinal study. J Med Internet Res 13(3): e71. DOI: 10.2196/jmir.1603. Go to original source... Go to PubMed...
    24. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372: n71. DOI: 10.1136/bmj.n71. Go to original source... Go to PubMed...
    25. Pal K, Dack C, Ross J, Michie S, May C, Stevenson F, et al. (2018). Digital Health Interventions for Adults with Type 2 Diabetes: Qualitative Study of Patient Perspectives on Diabetes Self-Management Education and Support. J Med Internet Res 20(2): e40. DOI: 10.2196/jmir.8439. Go to original source... Go to PubMed...
    26. Plano Clark VL (2010). The Adoption and Practice of Mixed Methods: U.S. Trends in Federally Funded Health-Related Research. Qual Inq. 16: 428-440. DOI: 10.1177/1077800410364609. Go to original source...
    27. Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. (2016). Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Clin Diabetes 34(2): 70-80. DOI: 10.2337/diaclin.34.2.70. Go to original source... Go to PubMed...
    28. Quinn CC, Butler EC, Swasey KK, Shardell MD, Terrin MD, Barr EA, Gruber-Baldini AI (2018). Mobile Diabetes Intervention Study of Patient Engagement and Impact on Blood Glucose: Mixed Methods Analysis. JMIR MHealth and UHealth 6(2): e9265. DOI: 10.2196/mhealth.9265. Go to original source... Go to PubMed...
    29. Ruppert K, Uhler A, Siminerio L (2010). Examining patient risk factors, comorbid conditions, participation, and physician referrals to a rural diabetes self-management education program. Diabetes Educ 36(4): 603-612. DOI: 10.1177/0145721710369705. Go to original source... Go to PubMed...
    30. Testerman J, Chase D (2018). Influences on Diabetes Self-Management Education Participation in a Low-Income, Spanish-Speaking, Latino Population. Diabetes Spectr 31(1): 47-57. DOI: 10.2337/ds16-0046. Go to original source... Go to PubMed...
    31. Whittemore R, Knafl K (2005). The integrative review: Updated methodology. J Adv Nurs 52(5): 546-553. DOI: 10.1111/j.1365-2648.2005.03621.x. Go to original source... Go to PubMed...
    32. Yu CH, Parsons JA, Hall S, Newton D, Jovicic A, Lottridge D, et al. (2014). User-centered design of a web-based self-management site for individuals with type 2 diabetes-providing a sense of control and community. BMC Med Inform Decis Mak 14: 60. DOI: 10.1186/1472-6947-14-60. Go to original source... Go to PubMed...
    33. Zhang W, Creswell J (2013). The use of "mixing" procedure of mixed methods in health services research. Med Care 51(8): e51-e57. DOI: 10.1097/MLR.0b013e31824642fd. Go to original source... Go to PubMed...
    34. Zhang Z, Monro J, Venn BJ (2019). Development and Evaluation of an Internet-Based Diabetes Nutrition Education Resource. Nutrients 11(6): 1217. DOI: 10.3390/nu11061217. Go to original source... Go to PubMed...

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