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FRIDA JARL - Development and Evaluation of a Digital Self-Management Education for Patients with type 2 Diabetes in Primary Healthcare

PhD project participating in the National Research School in General Medicine.

Improving lifestyle can help patients with type 2 diabetes to better health. Swedish Primary Care need to support patients with type 2 diabetes to become skilful in developing health strategies. The aim is to explore whether a Digital Diabetes Self Management Education and Support Program offers a modern and effective way to help patients to improve their health.

PhD Student

Frida Jarl PhD Student, Linköping University

Project overview

Project period:

Start date: 2023-01-01

Project description


Diabetes-related complications contribute to the adverse impact that T2DM has on quality of life and increasing healthcare costs. Therefore, it is necessary to find management strategies that focus on improving quality of life, minimizing the risks of complications, and improving care. Diabetes Self-Management Education and Support programs (DMSES) support high-quality diabetes care improving HbA1c. Whether DSMES could be adapted to be used for patients in Swedish Primary Care or if it can be delivered as a Digital Health Intervention (DHI) is unknown.


Explore patient needs after being diagnosed with T2DM, from the perspectives of both the patient and diabetes nurses, and to elucidate how these needs might be met by a DHI for DSMES. Developing a DSMES deliverad as a DHI adapted to Swedish settings, based on patients needs, evaluated in a RCT-study with primary outcome HbA1c. Finally, increase knowledge about the effect of DHI based on Self-Management and Education and Support Programs (DSMES).


Paper 1: Focus groups with patients and diabetes nurses. Qualitative method with content analysis.

Paper 2 and 3: Randomized controlled multicenter study att health care centers in Region Jönköping and Region Östergötland. 300 participants, half of whom were allocated to intervention and half to usual treatment.

Paper 4: Systematic review article with meta analysis.


A digital Diabetes Self-Management Education and Support Program (DSMES) may offer modern, cost-effective care to patient’s with diabetes type 2, if scientifically validated. Digital DSMES may also increase accessibility to patient education and encourage participation on the patients own terms and in a way that can be adapted to the individual patient’s needs and the recommendations of the Swedish National Board of Health and Welfare.

University affiliation

Linköping University

Main supervisor

Andreas Stomby, Adjunct Associate Professor, Docent

Latest update: 2023-04-04