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.