Satisfaction with a digitally-enabled telephone health coaching intervention for people with non-diabetic hyperglycaemia
Satisfaction with a digitally-enabled telephone health coaching intervention for people with non-diabetic hyperglycaemia
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DOI：
10.1038/s41746-019-0080-6
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发表时间：
2019-02-04
影响因子：
15.2
通讯作者：
Gibson, Martin
中科院分区：
文献类型：
--
作者：
Coventry, Peter;Bower, Peter;Gibson, Martin
国际证据表明，生活方式干预可以有效降低非糖尿病高血糖（NDH）患者患糖尿病的风险。有可能在人群层面推广的候选干预措施是健康指导。数字干预措施提供了潜在提高用户对健康指导的满意度并提高效率的方法。我们使用了一项随机对照试验来测试，与仅使用电话的健康指导干预相比，包括在线仪表板和电话健康指导的数字化健康指导干预是否可以提高用户满意度和成本效率。主要结果是通过客户满意度调查问卷（CSQ-8）衡量的满意度。 103 名 NDH 参与者被分配至仅电话辅导干预组，106 名 NDH 参与者被分配至数字和电话辅导干预组。在意向治疗分析中，分配到数字和电话辅导干预的参与者的满意度高于分配到仅电话干预的参与者，但差异并不显着。各组之间的次要结局（HbA1c、BMI、激活、抑郁、自我管理、健康状况）没有显着差异。从服务调试的角度来看，数字化干预的平均增量成本为 236 英镑（332 美元；（原文如此）270）。对于分配到数字化干预的参与者来说，包括管理在内的通话时间更长。结果表明，在常规糖尿病预防项目中，用户对数字干预的满意度与电话干预的满意度大致相当。未来的工作还有余地来评估如何在更大的用户基础上实现规模经济。
International evidence shows that lifestyle interventions can effectively reduce the risk of developing diabetes in people with nondiabetic hyperglycaemia (NDH). A candidate intervention that has potential to be rolled out at population level is health coaching. Digital interventions offer the means to potentially enhance user satisfaction with health coaching and improve efficiencies. We used a randomised controlled trial to test whether a digitally-enabled health coaching intervention that included an online dashboard and telephone health coaching improved user satisfaction and cost-efficiencies compared with a telephone only health coaching intervention. The primary outcome was satisfaction measured by Client Satisfaction Questionnaire (CSQ-8). 103 participants with NDH were allocated to the telephone coaching only intervention and 106 participants with NDH were allocated to the digital and telephone coaching intervention. In an intention-to-treat analysis satisfaction was higher in participants allocated to the digital and telephone coaching intervention than those allocated to the telephone only intervention, but the difference was not significant. There were no significant differences between the groups on secondary outcomes (HbA1c, BMI, activation, depression, self-management, health status). From a service commissioning perspective the mean incremental cost of the digitally-enabled intervention was 236 pound ($332; (sic)270). Call times, including administration, were longer for participants allocated to the digitally-enabled intervention. The results show that user satisfaction with digitally-enabled intervention is broadly equivalent with that of telephone delivered interventions in the context of routinely delivered diabetes prevention programmes. There is scope for future work that assesses how economies of scale can be achieved at larger user bases.