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. 2021 Feb 9;6(1):e15410. doi: 10.2196/15410

Table 2.

Evidence to support action-oriented learning strategies incorporated into the web-based intervention design.

Action-oriented learning strategy Component of intervention Literature to support
Goal setting Personal goal setting 1 of the 3 main factors to affect likelihood a person will change a health behavior [31]
Outcome expectancies: result an individual anticipates from taking action [31] CGMa expectation setting 1 of the 3 main factors to affect likelihood a person will change a health behavior [31]. Failure to meet expectations is one of the top cited reasons for poor CGM adherence [12,15,32-36]. Realistic expectations while using CGM were associated with better glycemic control and patient success [37]
Behavioral capabilities: knowledge and skill to perform given behavior [31] Knowledge acquisition through provided materials Proper training is necessary for patients to use CGM correctly [6]. Difficult to use technology is one of the top cited reasons for poor CGM adherence [12,15,32-36]
Cues to action: factors that promote action [31] Push notifications and email reminders to access LMSb Reminders to access and utilize web-based programs were critical to previously tested web-based intervention’s success [22,26,38,39]
Monitoring progress [31]. Reinforcing learned behaviors [31] Knowledge assessment checks Patients who consistently applied themselves to homework assignments, worksheets, and brief quizzes to reinforce learning and evaluate information gaps were observed to be most successful with SAPc [9]
Observational learning (modeling): learning through the experience of credible others rather than through their own experiences [31] Discussion boards with peers (content monitored by health care professionals) Discussion boards were highly utilized when incorporated into program designs [22,40]. Young adults utilize web-based resources, websites, discussion boards, and blogs to augment peer and family support [41,42]. Peer-led education provided an opportunity to learn real-life explanations for problems not addressed in clinic-based learning [20]

aCGM: continuous glucose monitor.

bLMS: learning management system.

cSAP: sensor-augmented pump therapy.