Original Research

Development and evaluation of the Flourish Diabetes Programme

Sylvia Kruger, Elmari Deacon, Esme van Rensburg, David Segal
Health SA Gesondheid | Vol 30 | a2923 | DOI: https://doi.org/10.4102/hsag.v30i0.2923 | © 2025 Sylvia Kruger, Elmari Deacon, Esme van Rensburg, David Segal | This work is licensed under CC Attribution 4.0
Submitted: 15 November 2024 | Published: 04 April 2025

About the author(s)

Sylvia Kruger, Department of Psychology, Faculty of Health Sciences, Community Psychological Research, North-West University, Potchefstroom, South Africa
Elmari Deacon, Department of Psychology, Faculty of Health Sciences, Optentia Research Unit, North-West University, Vanderbijlpark, South Africa
Esme van Rensburg, Department of Psychology, Faculty of Health Sciences, Community Psychological Research, North-West University, Potchefstroom, South Africa
David Segal, Department of Psychology, Faculty of Health Sciences, Optentia Research Unit, North-West University, Vanderbijlpark, South Africa

Abstract

Background: Adolescents with type 1 diabetes face unique challenges in adapting to closed-loop technology. Positive psychology interventions may aid in promoting psychological adjustment, enhancing well-being and supporting the effective use of this technology.

Aim: This study describes the development, content and evaluation of a positive psychology intervention, the Flourish Diabetes Programme, to facilitate adjustment to closed-loop technology among adolescents with type 1 diabetes.

Setting: The Flourish Diabetes Programme is an online, interactive intervention aimed at adolescents living with type 1 diabetes who use closed-loop technology.

Methods: The development of the programme was informed by qualitative research with adolescents, qualitative document analysis and the design and development model. The Delphi method was used to evaluate the intervention, where 11 experts provided feedback to refine and enhance the programme.

Results: Feedback from the Delphi panel informed the refinement and finalisation of the Flourish Diabetes Programme, contributing to an evidence-based and user-centred intervention.

Conclusion: The Flourish Diabetes Programme is a tailored online resource designed to support adolescents in adapting to closed-loop technology. Insights from the Delphi panel helped shape the programme into a practical tool for promoting positive adjustment.

Contribution: This intervention is the first step in developing effective, evidence-based resources to help adolescents with type 1 diabetes manage new medical technologies, specifically closed-loop systems, using positive psychological principles.


Keywords

adjustment to closed-loop technology; closed-loop technology; Delphi method; intervention; positive psychology; type 1 diabetes

Sustainable Development Goal

Goal 3: Good health and well-being

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