Text messaging intervention for teens and young adults with diabetes.
Text messaging intervention for teens and young adults with diabetes.
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DOI：
10.1177/1932296814540130
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发表时间：
2014-09-01
影响因子：
5
通讯作者：
Laffel, Lori M B
中科院分区：
文献类型：
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作者：
Markowitz, Jessica T;Cousineau, Tara;Laffel, Lori M B
青少年和年轻人使用短信作为他们的主要通信模式，从而提供了将这种通信模式用于移动卫生(MHealth)干预的机会。患有糖尿病的青年是这些mHealth倡议的重要群体，因为糖尿病管理需要每天付出巨大的努力，而这一人群很难实现最佳的糖尿病管理。目标设定和自我效能感是糖尿病管理中的两个因素。我们研究了针对青少年和青少年糖尿病患者的自我效能感和目标设定的健康生活方式短信程序的可行性。年龄在16岁到21岁之间的参与者被分配到短信组和对照组，前者每天接收关于营养和体育活动的激励信息，后者接收关于健康生活方式的纸质信息。两组都设定了营养和体力活动的目标，并完成了自我效能的测量。受试者平均年龄18.7±1.6岁，糖尿病病程10.0±4.6年，糖化血红蛋白8.7±1.7%。短信干预被给予很高的评价，并被证明是参与者可以接受的。自我效能感、血糖控制和体重指数在短短一个月的先导性研究过程中没有变化。在营养和体力活动领域，积极的、每日的、激励性的短信可能会有效地增强人们对小目标变化的动力。这些干预措施可能在未来用于青少年糖尿病患者，以改善糖尿病的护理。利用更有针对性的短信是未来研究的一个领域。
Adolescents and young adults use text messaging as their primary mode of communication, thus providing an opportunity to use this mode of communication for mobile health (mHealth) interventions. Youth with diabetes are an important group for these mHealth initiatives, as diabetes management requires an enormous amount of daily effort and this population has difficulty achieving optimal diabetes management. Goal setting and self-efficacy are 2 factors in the management of diabetes. We examined the feasibility of a healthy lifestyle text messaging program targeting self-efficacy and goal setting among adolescents and young adults with diabetes. Participants, ages 16-21, were assigned to either a text messaging group, which received daily motivational messages about nutrition and physical activity, or a control group, which received paper-based information about healthy lifestyle. Both groups set goals for nutrition and physical activity and completed a measure of self-efficacy. Participants' mean age was 18.7 ± 1.6 years old, with diabetes duration of 10.0 ± 4.6 years, and A1c of 8.7 ± 1.7%. The text messaging intervention was rated highly and proved to be acceptable to participants. Self-efficacy, glycemic control, and body mass index did not change over the course of the short, 1-month pilot study. Positive, daily, motivational text messages may be effective in increasing motivation for small goal changes in the areas of nutrition and physical activity. These interventions may be used in the future in youth with diabetes to improve diabetes care. Utilizing more targeted text messages is an area for future research.