Background: Chronic diseases represent a significant global burden, accounting for 85% of the total disease burden in Australia. This burden is particularly pronounced in rural areas, where chronic disease rates are higher, and access to health care services is more limited. Digital technology has the potential to address these disparities by overcoming challenges such as workforce shortages and geographic isolation.
Objective: Our objective is to develop a digital health platform (DHP) to support the monitoring and management of chronic disease in collaboration with rural and regional stakeholders, including researchers, health care providers, and patients. The platform is being designed to be flexible, enabling applications across a range of chronic health conditions relevant to rural contexts.
Methods: Guided by implementation science methodologies, we are adopting an evidence-based approach to developing a DHP for chronic disease management. Informed by co-design frameworks and best-practice guidelines, our development plan comprises three key phases: (1) stakeholder needs analysis, (2) co-design and platform development, and (3) postdesign evaluation and testing. The Federation University Human Research Ethics Committee (HREC Ref: 2023/169) granted ethics approval for this study.
Results: Data collection is underway. The phase 1 review has been completed, and we have 84 survey responses. Phase 2 has commenced, with 9 workshops and 2 interviews conducted to date. Phase 3 will not commence until phase 2 has been completed. At this stage, project completion is anticipated by late 2026.
Conclusions: Findings will inform the desirability, feasibility, and acceptability of co-designed DHPs for chronic disease management in rural Australia. Further, the study will contribute to the evidence base on collaborative, context-sensitive digital health innovation for resource-limited populations.
International registered report identifier (irrid): DERR1-10.2196/77844.
Keywords: behavior change; chronic disease; digital health; early intervention; hypertension; prevention; rural health; type II diabetes.
©Amanda Ellen Young, Britt Klein, Priscilla R Prestes, Colette Joy Browning, Leo R Bell, Fadi Joseph Charchar, Christopher Hall, Matthew Toms, Huy Van Nguyen, Quanda Zhang, Lisa Nicole Fiddes, Tanya E Davison, Marissa Dickins, Tim Harrison, Shane Andrew Thomas. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 12.12.2025.