Incorporating PDA use in diabetes self-care: A central Texas primary care research network (CenTexNet) study
Incorporating PDA use in diabetes self-care: A central Texas primary care research network (CenTexNet) study
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DOI：
10.3122/jabfm.2007.04.060166
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发表时间：
2007-07-01
影响因子：
2.9
通讯作者：
Molonket-Lanning, Susan
中科院分区：
文献类型：
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作者：
Forjuoh, Samuel N.;Reis, Michael D.;Molonket-Lanning, Susan
简介：我们调查了在初级保健中使用个人数字助理 (PDA) 进行糖尿病自我护理的可行性。方法：从 4 个家庭诊所招募了最近一次测量的 HbA1c 值为 8.0% 或更高的 2 型糖尿病成人。一名训练有素的研究助理就如何使用预装糖尿病试点软件的借出 PDA 提供了一对一的培训。 结果：在受邀参与的 550 名潜在受试者中，只有 98 名 (17.8%) 致电安排定向访问。然而，当招募目标达到时，有18人从未联系过。在其余 80 名受访者中，43 名 (53.8%) 符合所有研究纳入标准。参与者的平均年龄为 55.2 岁 (SD = 10.1)。大多数人是女性 (62.8%) 和白人 (62.8%)，83.7% 至少受过大学教育，大多数人的收入在 30,000 美元到 69,999 美元之间。平均基线 HbA1c 为 10.0% (SD = 1.5)。执业家庭医生面临的主要挑战包括，即使是免费的，也很少有受试者同意参与，同意参加的受试者通常与决定不参加的受试者不同，一些 PDA 没有归还，以及干预成本相对较高。结论：尝试将 PDA 纳入糖尿病自我护理中，尽管可行，但可能具有很大的挑战性。我们确定了一些挑战并提出了克服这些挑战的策略。
Introduction: We investigated the feasibility of incorporating the use of the personal digital assistant (PDA) in diabetes self-care in primary care.Methods: Adults with type 2 diabetes whose last measured HbA1c value was 8.0% or greater were recruited from 4 family practice clinics. A trained research assistant provided one-on-one training on the use of a loaned PDA preinstalled with Diabetes Pilot software.Results: Of 550 potential subjects invited for participation, only 98 (17.8%) called to schedule an orientation visit. However, 18 were never contacted when the recruitment goal was reached. Of the remaining 80 respondents, 43 (53.8%) met all study inclusion criteria. Participants' mean age was 55.2 years (SD = 10.1). The majority were female (62.8%) and white (62.8%), 83.7% had at least some college education, and most reported an income of $30,000 to $69,999. The mean baseline HbA1c was 10.0% (SD = 1.5). Major challenges of concern to the practicing family physician included few subjects agreeing to participate even though it was free, subjects who agreed to participate being generally different from those who decided not to participate, some PDAs not returned, and the relatively high cost of the intervention.Conclusions: Attempts to incorporate PDA use in diabetes self-care may be significantly challenging, although feasible. We identified several challenges and suggest strategies to overcome them.