Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial.
Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial.
复制标题
DOI：
10.2196/mhealth.9487
复制
发表时间：
2018-06-26
影响因子：
5
通讯作者：
Teilmann G
中科院分区：
文献类型：
--
作者：
Castensøe-Seidenfaden P;Husted GR;Jensen AK;Hommel E;Olsen B;Pedersen-Bjergaard U;Kensing F;Teilmann G
年轻人在从童年到成年的过渡期间往往难以自我管理1型糖尿病。移动的健康（mHealth）应用程序可能有潜力支持自我管理，但证据有限，需要随机对照试验。我们评估了mHealth应用程序“年轻糖尿病患者”是否改善了年轻人的自我管理，通过糖化血红蛋白（HbA 1c）和三个自我报告的心理测量量表进行测量。血糖控制不佳的年轻人（14-22岁）及其父母参加了一项随机对照试验，并被分配到年轻糖尿病患者和常规护理组（年轻糖尿病患者组）或仅常规护理组（对照组）。对患有糖尿病的年轻人的使用进行了监测;功能包括聊天室、联系医疗保健提供者、提醒、提示、关于糖尿病部门和1型糖尿病主题的信息、碳水化合物计数和父母部分。结果包括HbA 1c和三个自我报告的心理测量量表：糖尿病感知能力量表;卫生保健气候问卷;和糖尿病护理调查中的问题领域。在基线和2、7和12个月时收集数据。共有151名年轻人被随机分组（年轻糖尿病组=76，对照组=75），49名父母同意参加。12个月时，与对照组相比，年轻糖尿病患者组的HbA 1c显著较高（4.1 mmol/mol; 0.4%）（P= 0.04）;当比较应用程序使用者（年轻糖尿病患者使用≥5天）与非使用者时，未出现该结果。年轻人平均使用Young with Diabetes 10.5天。他们花了最多的时间谈论酒精和搜索有关性的信息。大多数年轻人和一半的父母报告说，年轻的糖尿病患者帮助了他们。超过80%的人会向同龄人推荐年轻糖尿病患者。年轻的糖尿病患者没有改善HbA 1c，但它可能是自我管理的一个有用的补充。需要定性评价来探索青年糖尿病患者的益处和缺点。卫生保健提供者应该解决年轻人对敏感话题的知识，为他们提供同伴支持，并意识到父母需要有关如何支持的信息ClinicalTrials.gov NCT 02632383; https://clinicaltrials.gov/ct2/show/NCT02632383（存档于http：//www.webcitation.org/6zCK2u7xM）
Young people often struggle to self-manage type 1 diabetes during the transition from childhood to adulthood. Mobile health (mHealth) apps may have the potential to support self-management, but evidence is limited and randomized controlled trials are needed. We assessed whether the mHealth app “Young with Diabetes” improved young people’s self-management measured by glycated hemoglobin (HbA1c) and three self-reported psychometric scales. Young people (14-22 years) with inadequate glycemic control and their parents were enrolled in a randomized controlled trial and assigned either to Young with Diabetes and usual care (Young with Diabetes group) or to usual care alone (control). Young with Diabetes use was monitored; functions included a chat room, contact the health care provider, reminders, tips, information about the diabetes department and type 1 diabetes topics, carbohydrate counting, and a parents’ section. Outcomes included HbA1c and three self-reported psychometric scales: Perceived Competence in Diabetes Scale; Health Care Climate Questionnaire; and Problem Areas In Diabetes care survey. Data were collected at baseline and at 2, 7, and 12 months. A total of 151 young people were randomized (Young with Diabetes group=76, control=75) and 49 parents agreed to participate. At 12 months, HbA1c was significantly higher (4.1 mmol/mol; 0.4 %) in the Young with Diabetes group, compared to the control group (P=.04); this finding did not occur when comparing app users (Young with Diabetes use ≥5 days) with nonusers. Young people used Young with Diabetes on a mean of 10.5 days. They spent the most time chatting about alcohol and searching for information about sex. Most young people and half of the parents reported that Young with Diabetes helped them. More than 80% would recommend Young with Diabetes to peers. Young with Diabetes did not improve HbA1c, but it may be a useful complement to self-management. Qualitative evaluation is needed to explore benefits and shortcomings of Young with Diabetes. Health care providers should address young peoples’ knowledge about sensitive topics, provide them with peer support, and be aware of parents’ need for information about how to support ClinicalTrials.gov NCT02632383; https://clinicaltrials.gov/ct2/show/NCT02632383 (Archived by WebCite at http://www.webcitation.org/6zCK2u7xM)
登录
查看更多内容
影响因子：
7.4
作者：
Frøisland DH;Arsand E;Skårderud F
通讯作者：
Skårderud F
影响因子：
5.5
作者：
Kumar, Santosh;Nilsen, Wendy J.;Abernethy, Amy;Atienza, Audie;Patrick, Kevin;Pavel, Misha;Riley, William T.;Shar, Albert;Spring, Bonnie;Spruijt-Metz, Donna;Hedeker, Donald;Honavar, Vasant;Kravitz, Richard;Lefebvre, R. Craig;Mohr, David C.;Murphy, Susan A.;Quinn, Charlene;Shusterman, Vladimir;Swendeman, Dallas
通讯作者：
Swendeman, Dallas
影响因子：
7.4
作者：
Hanberger, Lena;Ludvigsson, Johnny;Nordfeldt, Sam
通讯作者：
Nordfeldt, Sam
DOI：
10.1016/j.jclinepi.2010.03.004
发表时间：
2010-01-01
期刊：
Open medicine : a peer-reviewed, independent, open-access journal
影响因子：
--
作者：
Schulz, Kenneth F;Altman, Douglas G;Moher, David
通讯作者：
Moher, David
影响因子：
16.2
作者：
Bryden, KS;Dunger, DB;Neil, HAW
通讯作者：
Neil, HAW