PMID- 37556268
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230829
IS  - 2055-642X (Print)
IS  - 2055-642X (Linking)
VI  - 7
IP  - 1
DP  - 2020 Dec 29
TI  - Massive open online course for type 2 diabetes self-management: adapting 
      education in the COVID-19 era.
PG  - 141-147
LID - 10.1136/bmjinnov-2020-000526 [doi]
AB  - INTRODUCTION: Type 2 diabetes self-management education is an essential component 
      of type 2 diabetes care that is traditionally delivered in a face-to-face 
      setting. In response to the recent COVID-19 pandemic, innovative solutions are 
      urgently needed, allowing provision of self-management education that can be 
      delivered in compliance with social distancing policies. Innovations that are 
      self-service and can deliver education efficiently at low cost are particularly 
      appealing to healthcare providers and commissioners. METHODS: We aimed to 
      evaluate user uptake, dropout, acceptability, satisfaction, perceived short-term 
      knowledge gain and health benefits/behaviour changes in relation to a free 
      massive open online course (MOOC) in diabetes self-management education, created 
      and delivered during the COVID-19 pandemic. This course, focusing on addressing 
      knowledge and self-management needs for people with type 2 diabetes, made use of 
      online interactive content including expert and patient videos, quizzes, 
      moderated discussion boards and live social media that encouraged personal 
      reflection and goal setting. User expectations and experiences were explored via 
      survey-based methods. Here, we present our experience of developing the course 
      and describe users' experiences. RESULTS: 1991 users registered interest in the 
      course over a 2-week period, with 976 users starting the course and 640 (65.6%) 
      users completing the course in full. Users engaged well, finding the course 
      educational, user-friendly and motivating, demonstrating high completion rates 
      and user satisfaction. A statistically significant (p<0.001) increase in 
      self-reported self-management ability and health knowledge was observed among 
      participants with type 2 diabetes. DISCUSSION: MOOCs in type 2 diabetes 
      self-management education have great potential for delivering education 
      efficiently at scale and low cost. Although engagement can be limited by digital 
      literacy, benefits include flexible and remote access to up-to-date, 
      evidence-based education delivered by a multidisciplinary team of healthcare 
      professionals.
CI  - (c) Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and 
      permissions. Published by BMJ.
FAU - Mackenzie, Scott C
AU  - Mackenzie SC
AUID- ORCID: 0000-0001-5823-4334
AD  - Department of Acute Medicine, Ninewells Hospital and Medical School, Dundee, UK.
FAU - Cumming, Kirsten M
AU  - Cumming KM
AD  - MyWay Digital Health Ltd, Dundee, UK.
FAU - Garrell, David
AU  - Garrell D
AD  - MyWay Digital Health Ltd, Dundee, UK.
FAU - Brodie, Doogie
AU  - Brodie D
AD  - MyWay Digital Health Ltd, Dundee, UK.
FAU - Wilson, Lyn
AU  - Wilson L
AD  - NHS Lanarkshire, Bothwell, South Lanarkshire, UK.
FAU - Mehar, Salma
AU  - Mehar S
AD  - MyWay Digital Health Ltd, Dundee, UK.
AD  - NHS North West London Collaboration of Clinical Commissioning Groups, London, UK.
FAU - Cunningham, Scott G
AU  - Cunningham SG
AD  - Department of Population Health & Genomics, University of Dundee, Dundee, Dundee, 
      UK.
FAU - Bickerton, Alex
AU  - Bickerton A
AD  - Department of Diabetes & Endocrinology, Yeovil District Hospital NHS Foundation 
      Trust, Yeovil, UK.
FAU - Wake, Deborah J
AU  - Wake DJ
AUID- ORCID: 0000-0003-4376-6973
AD  - Usher Institute of Population Health Sciences and Informatics, The University of 
      Edinburgh, Edinburgh, UK.
AD  - Edinburgh Centre for Endocrinology and Diabetes, NHS Lothian, Edinburgh, UK.
LA  - eng
PT  - Journal Article
DEP - 20201116
PL  - England
TA  - BMJ Innov
JT  - BMJ innovations
JID - 101659377
OTO - NOTNLM
OT  - access
OT  - and evaluation
OT  - delivery of healthcare
OT  - diabetes mellitus
OT  - endocrinology
OT  - healthcare quality
OT  - information science
COIS- Competing interests: SCM, KMC, DG, DB and SGC are employees of MWDH. DJW and SGC 
      are cofounders and shareholders of MWDH.
EDAT- 2020/12/29 00:00
MHDA- 2020/12/29 00:01
CRDT- 2023/08/09 12:15
PHST- 2020/07/28 00:00 [received]
PHST- 2020/09/07 00:00 [revised]
PHST- 2020/10/31 00:00 [accepted]
PHST- 2020/12/29 00:01 [medline]
PHST- 2020/12/29 00:00 [pubmed]
PHST- 2023/08/09 12:15 [entrez]
AID - bmjinnov-2020-000526 [pii]
AID - 10.1136/bmjinnov-2020-000526 [doi]
PST - ppublish
SO  - BMJ Innov. 2020 Dec 29;7(1):141-147. doi: 10.1136/bmjinnov-2020-000526. Epub 2020 
      Nov 16.