Table 3.
Feature | “HeLP-Diabetes” (RCTa version) | “HeLP-Diabetes: Starting Out” | “Healthy Living” |
Registration | Facilitated access by a practice nurse through a 5- to 10-minute appointment | Self–sign-up, with optional telephone support for those who had difficulty registering or using the website | Self–sign-up (plans to develop referrals through primary care and community hubs but no facilitated access) |
Size of website | 8 sections, 560 pages | 5 sections, with selected content from HeLP-Diabetes; users also had access to the HeLP-Diabetes website via a common home page | 3 sections, 895 pages |
How the intervention was delivered | Nonlinear—users could access any part of the website and dip in and out as they pleased in any order | Linear and nonlinear—users worked through modules one by one but also had access to the nonlinear component, where they could dip in and out of sections as they pleased in any order | Linear and nonlinear—users worked through modules one by one but also had access to the nonlinear component, where they could dip in and out of sections as they pleased in any order |
Curriculum | No curriculum—users could choose which topics to access depending on interest | Structured curriculum—users had access to a series of modules that could be worked through in a spiral fashion | Structured curriculum—users had access to a series of modules that could be worked through in a spiral fashion |
Forum and help | There was a moderated web-based forum where users could interact with other users, and there was an “Ask the Expert” option where users could ask health professionals questions; additional resources included local resources tailored to the CCGb and a list of frequently asked questions | Users had access to the HeLP-Diabetes nonlinear website, where they could access the web-based forum, “Ask the Expert,” and all the additional tailored resources | No moderated web-based forum or tailored support |
Health record | Users could record and keep track of appointments with health care professionals and of the results of tests used to monitor diabetes (eg, HbA1c, blood pressure, cholesterol level, and kidney and liver function) | Users had access to the HeLP-Diabetes website, where they could record and keep track of health care appointments and test results | No health record, but an HbA1c tracker was offered |
Physical materials | Practice nurses were provided with training leaflets for facilitated access; information leaflets for patients | No physical materials were offered | Information leaflets for patients in primary care |
Engagement | Email, SMS text message reminders, and follow-up phone calls | Emails only | Emails only |
aRCT: randomized controlled trial.
bCCG: clinical commissioning group.