Bodil Rasmussen, Australia
Deakin University Faculty of HealthPresenter of 1 Presentation
AN INNOVATIVE ONLINE SELF-DETERMINATION PROGRAM TO IMPROVE SELF-MANAGEMENT IN YOUNG ADULTS WITH TYPE 1 DIABETES
Abstract
Background and Aims
Background: For young adults with type 1 diabetes (YAWD), it can be difficult to manage diabetes due to competing lifestyles and work commitments. The Guided Self-determination (GSD) method is an evidence-based self-management program that aims to improve motivation to make positive lifestyle changes.
The study aim was to evaluate the feasibility and efficacy of the online GSD program in improving diabetes self-management skills among YAWD.
Methods
Methods Nine Diabetes Educators (DEs) attended a 1.5 day face-to-face training course. YAWD aged 18 to 30 were recruited from a Young Adults Diabetes Service clinic, from Consumer organisation and from University student forums. DEs completed the online GSD program flexibly with YAWD over 3 to 6 months. Online validated surveys measures of autonomy, competency and communication with healthcare providers were completed by YAWD before and after participation. Follow-up surveys invited comments on YAWDs’ and DEs’ experience of the program and DEs participated in a focus group.
Results
Results 15 young adults have completed the program. DEs indicated that the program has changed the way they communicate with their clients, and that the online GSD approach was most successful when applied flexibly, to suit YAWDS’ preferred time of day, learning style and mode of conversation (eg telephone versus videoconferencing).
Conclusions
Conclusions. The online GSD program is feasible; efficacy in improving self-management skills has yet to be assessed in a larger sample of YAWD, however, has the potential to empower YAWD to improve diabetes care and facilitate access to healthcare 24/7 and regardless of location.