The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results
The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results
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DOI：
10.1016/s0091-7435(02)00056-7
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发表时间：
2003-04-01
影响因子：
5.1
通讯作者：
Barrere, M
中科院分区：
文献类型：
--
作者：
Glasgow, RE;Boles, SM;Barrere, M
背景。将研究成果转化为实践的先决条件是有关实施的一致性、结果的维持和效果的推广的信息。这份后续报告是为数不多的提供此类信息的基于互联网的健康教育方法的实验研究之一。我们提供了“糖尿病网络 (D-Net)”基于互联网的自我管理项目随机化后 10 个月的后续数据，这是一项随机试验，评估在基本的基于互联网、以信息为中心的比较干预措施中添加 (1) 定制的自我管理培训或 (2) 同伴支持成分的增量效果。参与者是来自参与初级保健办公室的 320 名成年 2 型糖尿病患者，平均年龄 59 岁 (SD = 9.2)，他们是相对新手的互联网用户。结果。所有干预措施均由工作人员一致实施，但参与者网站的使用率随着时间的推移而减少。所有情况在行为、心理社会和一些生物学结果方面均较基线显着改善；并且条件之间几乎没有差异。在线教练、患者特征和参与诊所的结果都很稳健。结论。基本的 D-Net 干预措施实施得很好，并且在各种患者、干预人员和诊所中都观察到了改善。然而，随着时间的推移，维持使用存在困难，并且添加定制的自我管理和同伴支持组件通常不会显着改善结果。 (C) 2003 年美国健康基金会和爱思唯尔科学（美国）。版权所有。
Background. A prerequisite to translating research findings into practice is information on consistency of implementation, maintenance of results, and generalization of effects. This follow-up report is one of the few experimental studies to provide such information on Internet-based health education.Methods. We present follow-up data 10 months following randomization on the "Diabetes Network (D-Net)" Internet-based self-management project, a randomized trial evaluating the incremental effects of adding (1) tailored self-management training or (2) peer support components to a basic Internet-based, information-focused comparison intervention. Participants were 320 adult type 2 diabetes patients from participating primary care offices, mean age 59 (SD = 9.2), who were relatively novice Internet users.Results. All intervention components were consistently implemented by staff, but participant website usage decreased over time. All conditions were significantly improved from baseline on behavioral, psychosocial, and some biological outcomes; and there were few differences between conditions. Results were robust across on-line coaches, patient characteristics, and participating clinics.Conclusions. The basic D-Net intervention was implemented well and improvements were observed across a variety of patients, interventionists, and clinics. There were, however, difficulties in maintaining usage over time and additions of tailored self-management and peer support components generally did not significantly improve results. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.