An Internet-Based Program to Improve Self-Management in Adolescents With Type 1 Diabetes
An Internet-Based Program to Improve Self-Management in Adolescents With Type 1 Diabetes
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DOI：
10.2337/dc09-1881
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发表时间：
2010-03-01
期刊：
影响因子：
16.2
通讯作者：
Dietrich, Mary S.
中科院分区：
文献类型：
--
作者：
Mulvaney, Shelagh A.;Rothman, Russell L.;Dietrich, Mary S.
目的-报告结果从YourWay，一个基于互联网的自我管理干预青少年I型diabetes.Research设计和方法-共72名青少年与1型糖尿病，年龄13-17岁，被随机分配到一个日常护理加互联网支持或日常护理组。干预的目的是提高解决问题的障碍，自我管理A1 C从医疗记录中获得，解决问题和自我管理，通过青少年report.RESULTS -组间差异无统计学意义，使用意向治疗分析。使用治疗分析，治疗条件下的青少年在自我管理（d = 0.64; P = 0.02）和解决问题（d = 0.30 P = 0.23）和A1 C（d = -0.28; P = 0.27）方面显示出统计学显著性改善。干预组的平均A1 C保持不变（-0.01%），而对照组增加（0.33%）。结论-这个简短的试验表明，自我管理，通过安全的网站提供支持，可以提高自我管理和抵消青少年血糖控制的典型下降。
OBJECTIVE - To report results from YourWay, an Internet-based self-management intervention for adolescents with type I diabetes.RESEARCH DESIGN AND METHODS - A total of 72 adolescents With type 1 diabetes, ages 13-17 years, were randomized to a usual-care-plus-Internet support or a usual-care group. The intervention was designed to enhance problem-solving barriers to self-management A1C was obtained from medical records, and problem-solving and self-management were obtained via adolescent report.RESULTS - Group differences were not statistically significant using intent-to-treat analyses. Using as-treated analyses, adolescents in the treatment condition showed statistically significant improvement in self-management (d = 0.64; P = 0.02) and important improvements in problem-solving (d = 0.30 P = 0.23) and A1C (d = -0.28; P = 0.27). Mean A1C for the intervention group remained constant (-0.01%), while the control group increased (0.33%).CONCLUSIONS - This brief trial Suggests that self-management, support delivered through a secure website may improve self-management and offset typical decreases in adolescent glycemic control.