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Nijland, N. et al.: Evaluation of the use of an interactive web-based support program for optimizing the management of Diabetes Mellitus ,[object Object],[object Object],[object Object]
Evaluation of the use of an interactive web-based support program for optimizing the management of Diabetes Mellitus  Nicol Nijland, researcher,  University of Twente Bart Brandenburg, M.D., CMO  Medic info
 
 
I’m Bart
She’s Nicol
We’re Dutch
 
 
 
 
 
… I have some questions (and maybe Nicol has some answers) She’s Nicol I’m Bart
Our menu? Business Science Discussion
Medic info  is a healthcare innovation company
Information and services under label
face to face internet telephone video screen-to-screen Consumers and providers have new choices… …what do they want?
 
But…
The online coach as apomediator?
Online coaching is developing
Online coaching: how are we doing? Evidence-based guidelines  Patient self-management education Usability  Implementation strategy Process and outcomes measurement  Routine reporting/feedback loop.
Medic info  has a lot of questions… …maybe Nicol has some answers!
Nicol Nijland, PhD-student, University of Twente Lisette van Gemert-Pijnen, PhD, University of Twente Bart Brandenburg, MD, Medicinfo Medicine 2.0 Conference, September 2008 Evaluation of the use of an interactive web-based support program for optimizing the management of Diabetes Mellitus @
The Diabetescoach Web-based   disease management program to  support the care  of  diabetic patients online support
Objectives diabetescoach ,[object Object],[object Object],[object Object]
Diabetescoach patient view
Measurements, weight
Measurements, blood glucose Alert values adjusted by nurse
E-contact & education
Lifestyle coach Different tools appear on demand:  e.g. healthy living test, sport selection guide, activity scale, nutrition guide, weight manager, diet guide, mobility exercises
Supervision by nurse Patients at risk Patients with alert values are listed for contact by the nurse
Why research? ,[object Object],[object Object],[object Object],[object Object]
Focus of the study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pilot participants Average: 62  (SD = 8.5) Min: 43 Max: 80 Age 39 (78%) 6 Active users: Nurses 36 male 14 female 50 Patients Gender N
Reasons for non-participation   N=226 64.6%   no computer or Internet 11.0%   not interested in project; no added value 10.2%   not in the mood to use computer at home  4.4%   not skilled enough for using computer/Internet 4.4%  not in the mood to be occupied with disease 2.7%   moving to another town 1.8%   too busy, no time 0.9%   many hospitalisations
Results usability tests  20 patients, 5 nurses   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results log-files   (July 2007 – June 2008) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Content patients’ messages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patients’ messages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Content nurses’ messages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nurses’ messages ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summarizing… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Thank you for your attention! [email_address] www.ehealthgw.nl [email_address] [email_address] +31 135 942 155 or +31 655 841 885

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