Computerized Automated Reminder Diabetes System (CARDS): E-Mail and SMS Cell Phone Text Messaging Reminders to Support Diabetes Management
Computerized Automated Reminder Diabetes System (CARDS): E-Mail and SMS Cell Phone Text Messaging Reminders to Support Diabetes Management
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DOI：
10.1089/dia.2008.0022
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发表时间：
2009-02-01
影响因子：
5.4
通讯作者：
Laffel, Lori M.
中科院分区：
文献类型：
--
作者：
Hanauer, David A.;Wentzell, Katherine;Laffel, Lori M.
背景资料：手机短信，通过短消息服务（SMS），提供了一个高度便携的承诺，良好的接受，和廉价的方式，让青年和年轻人在他们的糖尿病管理。这个试点和可行性研究比较双向短信手机短信与电子邮件提醒，是针对鼓励血糖（BG）monitoring.Methods：40胰岛素治疗的青少年和年轻的成年人糖尿病患者随机接受电子提醒，检查他们的血糖水平通过手机短信或电子邮件提醒为3个月的试点研究。自动生成电子消息，并由当地开发的计算机化自动提醒糖尿病系统（Computerized Automated Reminder Diabetes System，简称CAMS）处理参与者的BG结果回复。参与者设置他们的时间表上的安全提醒，他们也可以输入和审查BG data.Results网站：40名参与者中，22人被随机接收手机短信提醒和18个接收电子邮件提醒; 18个在手机组和11个在电子邮件组使用该系统。与电子邮件组相比，手机组的用户收到更多提醒（每用户180.4 vs. 106.6），并更频繁地回复BG结果（每用户30.0 vs. 6.9，P = 0.04）。在第一个月，手机用户提交的BG是电子邮件用户的两倍（每个用户27.2对13.8）;到第三个月，使用量下降。结论：手机短信，以促进血糖监测是一个可行的和可接受的选择，在青少年和年轻的糖尿病患者。然而，长时间保持兴趣水平仍然是一个挑战。
Background: Cell phone text messaging, via the Short Messaging Service (SMS), offers the promise of a highly portable, well-accepted, and inexpensive modality for engaging youth and young adults in the management of their diabetes. This pilot and feasibility study compared two-way SMS cell phone messaging with e-mail reminders that were directed at encouraging blood glucose (BG) monitoring.Methods: Forty insulin-treated adolescents and young adults with diabetes were randomized to receive electronic reminders to check their BG levels via cell phone text messaging or e-mail reminders for a 3-month pilot study. Electronic messages were automatically generated, and participant replies with BG results were processed by the locally developed Computerized Automated Reminder Diabetes System (CARDS). Participants set their schedule for reminders on the secure CARDS website where they could also enter and review BG data.Results: Of the 40 participants, 22 were randomized to receive cell phone text message reminders and 18 to receive e-mail reminders; 18 in the cell phone group and 11 in the e-mail group used the system. Compared to the e-mail group, users in the cell phone group received more reminders (180.4 vs. 106.6 per user) and responded with BG results significantly more often (30.0 vs. 6.9 per user, P = 0.04). During the first month cell phone users submitted twice as many BGs as e-mail users (27.2 vs. 13.8 per user); by month 3, usage waned. Conclusions: Cell phone text messaging to promote BG monitoring is a viable and acceptable option in adolescents and young adults with diabetes. However, maintaining interest levels for prolonged intervals remains a challenge.