Evidence map›Paper›PMID 34898453›Full record

ArticleJMIR diabetes2021

Cocreation of Massive Open Online Courses to Improve Digital Health Literacy in Diabetes: Pilot Mixed Methods Study.

Yolanda Alvarez-Perez, Lilisbeth Perestelo-Perez, Amado Rivero-Santana, Ana M Wagner, Alezandra Torres-Castaño, Ana Toledo-Chávarri, Andrea Duarte-Díaz, Dácil Alvarado-Martel, Barbara Piccini, Stephan Van den Broucke and 5 more

Abstract read
In one paragraph

Article in JMIR diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Yolanda Alvarez-Perez *Canary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID https://orcid.org/0000-0002-6414-2863
Lilisbeth Perestelo-PerezEvaluation Unit (SESCS), Canary Islands Health Service (SCS), Tenerife, Spain.ORCID https://orcid.org/0000-0002-6113-7313
Amado Rivero-SantanaCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID https://orcid.org/0000-0002-5067-3196
Ana M WagnerDepartment of Endocrinology and Nutrition, University Hospital Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.ORCID https://orcid.org/0000-0002-7663-9308
Alezandra Torres-CastañoCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID https://orcid.org/0000-0003-4690-1421
Ana Toledo-ChávarriCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID https://orcid.org/0000-0003-2395-3907
Andrea Duarte-DíazCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.ORCID https://orcid.org/0000-0003-1171-9945
Dácil Alvarado-MartelDepartment of Endocrinology and Nutrition, University Hospital Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.ORCID https://orcid.org/0000-0003-4952-4115
Barbara PicciniDiabetology Unit, Meyer University Children's Hospital, Florence, Italy.ORCID https://orcid.org/0000-0002-2684-8638
Stephan Van den BrouckeUniversité Catholique de Louvain, Louvain, Belgium.ORCID https://orcid.org/0000-0002-9090-8877
Jessica VandenboschUniversité Catholique de Louvain, Louvain, Belgium.ORCID https://orcid.org/0000-0003-2457-2823
Carina González-GonzálezInteraction, Technology, and Education Research Group, Department of Computer Science and Engineering, University of La Laguna, La Laguna, Spain.ORCID https://orcid.org/0000-0001-5939-9544
Michelle PerelloConsulta Europa Projects and Innovation, Las Palmas de Gran Canaria, Spain.ORCID https://orcid.org/0000-0003-3462-1983
Pedro Serrano-AguilarEvaluation Unit (SESCS), Canary Islands Health Service (SCS), Tenerife, Spain.ORCID https://orcid.org/0000-0002-5373-410X
IC-Health Project Consortium *See Acknowledgements, .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-management education is a fundamental aspect in the health care of people with diabetes to develop the necessary skills for the improvement of health outcomes. Patients are required to have the competencies to manage electronic information resources-that is, an appropriate level of digital health literacy. The European project IC-Health aimed to improve digital health literacy among people with diabetes through the cocreation of massive open online courses (MOOCs).

objectiveWe report the preliminary results obtained in 3 participating countries in the IC-Health project (Italy, Spain, and Sweden) regarding (1) experience of the participants during the cocreation process of MOOCs, (2) perceived changes in their digital health literacy level after using MOOCs, and (3) a preliminary assessment of the acceptability of MOOCs.

methodsThe cocreation of the MOOCs included focus groups with adults and adolescents with diabetes and the creation of independent communities of practice for type 1 diabetes and type 2 diabetes participants aimed to co-design the MOOCs. Quantitative measures of the acceptability of MOOCs, experience in the cocreation process, and increase in digital health literacy (dimensions of finding, understanding, and appraisal) were assessed.

resultsA total of 28 participants with diabetes participated in focus groups. Adults and adolescents agreed that the internet is a secondary source of health-related information. A total of 149 participants comprised the diabetes communities of practice. A total of 9 MOOCs were developed. Acceptability of the MOOCs and the cocreation experience were positively valued. There was a significant improvement in digital health literacy in both adults and adolescents after using MOOCs (P<.001).

conclusionsAlthough the results presented on self-perceived digital health literacy are preliminary and exploratory, this pilot study suggests that IC-Health MOOCs represent a promising tool for the medical care of diabetes, being able to help reduce the limitations associated with low digital health literacy and other communication barriers in the diabetes population.

Indexed as

diabetesdigital health literacyhealth educationMOOC

Identifiers

PMID34898453
PMCPMC8713090

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.