Development of the OnTrack Diabetes program

Cassimatis, Mandy, Kavanagh, David J., Hills, Andrew P., Smith, Anthony C., Scuffham, Paul A., Edge, Steven, Gibson, Jeremy, & Gericke, Christian (2015) Development of the OnTrack Diabetes program. Journal of Medical Internet Research, 4(2), e24.

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Background: Type 2 diabetes affects an estimated 347 million people worldwide and often leads to serious complications including blindness, kidney disease, and limb amputation. Comorbid dysphoria is common and is an independent risk factor for poor glycaemic control. Professional support for diabetes self-management and dysphoria has limited availability and involves high costs, especially after regular hours, and in rural and remote areas. Web-based cognitive behavior therapy offers highly accessible, acceptable, and cost-effective support for people with diabetes. This paper describes the development of OnTrack Diabetes, a self-guided, Web-based program to promote improved physical and emotional self-management in people with Type 2 diabetes.

Objective: The objective of the study is to describe the development of the OnTrack Diabetes program, which is a self-guided, Web-based program aimed to promote euthymia and improved disease self-management in people with Type 2 diabetes.

Methods: Semistructured interviews with 12 general practitioners and 13 patients with Type 2 diabetes identified enablers of and barriers to effective diabetes self-management, requirements for additional support, and potential program elements. Existing resources and research data informed the development of content, and consultants from relevant disciplines provided feedback on draft segments and reviewed the program before release. Using a self-guided delivery format contained costs, in addition to adapting program features and modules from an existing OnTrack program.

Results: A separate paper describes the protocol for a randomized controlled trial to provide this required evaluation.

Conclusions: Development of the OnTrack Diabetes program demonstrates strategies that help ensure that a program is acceptable to users. The next stages involve testing users’ experiences and examining the program’s effectiveness and cost-effectiveness in randomized controlled trials.

Impact and interest:

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ID Code: 79303
Item Type: Journal Article
Refereed: Yes
Keywords: type 2 diabetes; depression; anxiety; self-management; Internet; online; intervention; randomized; protocol
DOI: 10.2196/resprot.2823
ISSN: 1439-4456
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2015 Mandy Cassimatis, David J Kavanagh, Andrew P Hills, Anthony C Smith, Paul A Scuffham, Steven Edge, Jeremy Gibson, Christian Gericke. Originally published in JMIR Research Protocols (, 26.05.2015.
Copyright Statement: This is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on, as well as this copyright and license information must be included.
Deposited On: 16 Dec 2015 02:17
Last Modified: 16 Dec 2015 21:48

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