Using a Cell Phone-Based Glucose Monitoring System for Adolescent Diabetes Management
Using a Cell Phone-Based Glucose Monitoring System for Adolescent Diabetes Management
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DOI：
10.1177/0145721710387163
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发表时间：
2011-01-01
影响因子：
3.9
通讯作者：
Marrero, David G.
中科院分区：
文献类型：
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作者：
Carroll, Aaron E.;DiMeglio, Linda A.;Marrero, David G.
引言移动技术可能有助于解决青少年糖尿病管理中的几个问题。目的评估手机血糖监测系统对1型糖尿病青少年及其父母的可行性和可接受性。方法作者招募了已确诊的1型糖尿病患者至少1年。每个青少年使用该系统6个月，每3个月填写一次调查，以衡量他们的可用性和满意度的手机血糖监测系统，以及如何使用该系统可能会影响家庭功能和糖尿病管理的质量。尽管他们中的一些人有重大的技术问题，影响了该设备的继续使用。几乎所有的人都认为诊所参与监测测试行为是完全可以接受的。然而，使用Glucophone（TM）并没有显著改变青少年的生活质量，他们与父母的冲突水平，他们报告的糖尿病自我管理，或他们在研究的短时间内的平均血糖控制。这项工作成功地证明了蜂窝电话葡萄糖监测技术可以用于青少年群体以跟踪和帮助自我监测行为。作者推测，明确尝试改变行为，也许使用行为契约，将增强技术改善结果的能力。
IntroductionMobile technology may be useful in addressing several issues in adolescent diabetes management.PurposeTo assess the feasibility and acceptability of a cell phone glucose monitoring system for adolescents with type 1 diabetes and their parents.MethodsThe authors recruited patients with type 1 diabetes who had been diagnosed for at least 1 year. Each adolescent used the system for 6 months, filling out surveys every 3 months to measure their usability and satisfaction with the cell phone glucose monitoring system, as well as how use of the system might affect quality of family functioning and diabetes management.ResultsAdolescents reported positive feelings about the technology and the service, even though a concerning number of them had significant technical issues that affected continued use of the device. Nearly all thought that the clinic involvement in monitoring testing behavior was quite acceptable. The use of the Glucophone (TM) did not, however, significantly change the quality of life of the adolescents, their level of conflict with their parents, their reported self-management of diabetes, or their average glycemic control within the short time frame of the study.ConclusionsAs a feasibility study of the technology, this work was successful in demonstrating that cell phone glucose monitoring technology can be used in an adolescent population to track and assist in self-monitoring behavior. The authors speculate that explicitly attempting to change behavior, perhaps with the use of behavioral contracts, would enhance the technology's ability to improve outcomes.