"Sweet Talk": text messaging support for intensive insulin therapy for young people with diabetes.
"Sweet Talk": text messaging support for intensive insulin therapy for young people with diabetes.
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DOI：
10.1089/152091503322641042
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发表时间：
2003-01-01
影响因子：
5.4
通讯作者：
Greene, Stephen
中科院分区：
文献类型：
--
作者：
Franklin, Victoria;Waller, Annalu;Greene, Stephen
最佳的糖尿病管理涉及相当大的行为改变，而不遵守有助于显着穷人的糖尿病。对旨在改善糖尿病的心理干预的广泛研究表明，目前的策略既昂贵又耗时，而且根据我们的经验，对1型糖尿病年轻人没有吸引力。短信已经迅速成为一种社会流行的通信形式。它是个人的，高度便携，广泛使用，特别是在青少年人群中。然而，短信与具体的行为健康战略相结合，尚未得到有效利用。我们开发了一个新的支持网络（“甜言蜜语”），基于一个独特的短信系统，旨在提供个性化的信息和一般的糖尿病信息。基于社会认知理论、健康信念模型和目标设定的个性化激励策略构成了信息内容的理论基础。强化胰岛素治疗和增加与糖尿病团队的联系可以改善控制，但难以在现有资源范围内提供。我们的支持系统提供了一种在诊所就诊之间进行联系和支持的方式，旨在提高强化胰岛素治疗方案的依从性并改善临床结果。
Optimal diabetes management involves considerable behavioural modification, while nonadherence contributes significantly to poor glycaemia. Extensive research on psychological interventions aiming to improve glycaemia suggests that current strategies are costly and time-consuming and in our experience do not appeal to young people with Type 1 diabetes. Text messaging has rapidly become a socially popular form of communication. It is personal, highly transportable, and widely used, particularly in the adolescent population. However, text messaging coupled with specific behavioural health strategies has yet to be utilised effectively. We have developed a novel support network ("Sweet Talk"), based on a unique text-messaging system designed to deliver individually targeted messages and general diabetes information. Individualised motivation strategies--based on social cognition theory, the health belief model, and goal setting--form the theoretical basis of the message content. Intensifying insulin therapy and increasing contact with the diabetes team can improve control, but are difficult to provide within existing resources. Our support system offers a means of contact and support between clinic visits and aims to increase adherence with intensive insulin regimens and to improve clinical outcome.