Patient perspectives of using a web based intervention program for patients with type 2 diabetes and acute coronary syndrome

Wu, Chiung-Jung, Atherton, John, Chang, Anne, Courtney, Mary, Clark, Alex, McPhail, Steven, Strodl, Esben, Ramis, Mary-Anne, & Kuhn, Michael (2014) Patient perspectives of using a web based intervention program for patients with type 2 diabetes and acute coronary syndrome. In World Congress of Cardiology Scientific Sessions 2014, 4 - 7 May 2014, Melbourne, Australia.

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Research highlights patients with dual diagnoses of type 2 diabetes and acute coronary syndrome (ACS) have higher readmission rates and poorer health outcomes than patients with singular chronic conditions. Despite this, there is a lack of education programs targeted for this dual diagnosis population to improve self-management and decrease negative health outcomes. There is evidence to suggest that internet based interventions may improve health outcomes for patients with singular chronic conditions, however there is a need to develop an evidence base for ACS patients with comorbid diabetes. There is a growing awareness of the importance of a participatory model in developing effective online interventions. That is, internet interventions are more effective if end users’ perceptions of the intervention are incorporated in their final development prior to testing in large scale trials.


This study investigated patients’ perspectives of the web-based intervention designed to promote self-management of the dual conditions in order to refine the intervention prior to clinical trial evaluation.


An interpretive approach with thematic analysis was used to obtain deeper understanding regarding participants’ experience when using web-application interventions for patients with ACS and type 2 diabetes. Semi-structured interviews were undertaken on a purposive sample of 30 patients meeting strict inclusion and exclusion criteria to obtain their perspectives on the program.


Preliminary results indicate patients with dual diagnoses express more complex needs than those with a singular condition. Participants express a positive experience with the proposed internet intervention and emerging themes include that the web page is seen as easy to use and comforting as a support, in that patients know they are not alone. Further results will be reported as they become available.


The results indicate potential for patient acceptability of the newly developed internet intervention for patients with ACS and comorbid diabetes. Incorporation of patient perspectives into the final development of the intervention is likely to maximise successful outcomes of any future trials that utilise this intervention. Future quantitative evaluation of the effectiveness of the intervention is being planned.

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ID Code: 80216
Item Type: Conference Item (Poster)
Refereed: Yes
Additional Information: World Congress of Cardiology Scientific Sessions 2014
DOI: 10.1016/j.gheart.2014.03.2264
ISSN: 2211-8160
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Division of Administrative Services
Current > QUT Faculties and Divisions > Faculty of Health
Past > Institutes > Institute for Creative Industries and Innovation
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Current > Schools > School of Advertising, Marketing & Public Relations
Current > Schools > School of Psychology & Counselling
Current > Schools > School of Public Health & Social Work
Deposited On: 30 Jan 2015 00:33
Last Modified: 16 Mar 2016 05:38

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