Pilot Study for the Development of a Self-Care System for Type 2 Diabetes Patients Using a Personal Digital Assistant (PDA)
Pilot Study for the Development of a Self-Care System for Type 2 Diabetes Patients Using a Personal Digital Assistant (PDA)
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DOI：
10.1007/s12529-016-9535-1
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发表时间：
2016-06-01
影响因子：
2.7
通讯作者：
Akabayashi, Akira
中科院分区：
文献类型：
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作者：
Inada, Shuji;Yoshiuchi, Kazuhiro;Akabayashi, Akira
目的本研究的主要目的是探讨在2型糖尿病患者中使用个人数字辅助的新开发的自我护理系统的可行性和可接受性。第二个目标是调查使用该系统6个月后每日卡路里摄入量、体重和血红蛋白A1c的变化。方法参与者是9名门诊的2型糖尿病患者，年龄34-72岁，居住在东京或周边县。他们被指示使用电子食物日记，并回顾总能量摄入量的图表，以在6个月内将食物摄入量控制在自己的目标值以下。结果9名受试者中有7名完成了研究方案，分别以食物记录依从率和6分Likert评分系统的可接受性为评价指标。食品记录依从率中位数为80.6%。在可接受性方面，6名患者对使用该系统的意愿评分为6分，1名患者的评分为5分。此外，在改善糖尿病患者的自我护理方面，中位数为5分。然而，每日热量摄入量、体重和HbA1c在6个月期间没有明显变化。结论新开发的自我护理系统在糖尿病患者中可能是可行的和可以接受的，可以作为一种生态瞬时干预工具应用，但仍有一定的改进空间，以提高依从性。
Purpose The primary objective of the present pilot study was to investigate the feasibility and acceptability of the newly developed self-care system using personal digital assistance in patients with type 2 diabetes. The secondary objective was to investigate changes in daily calorie intake, body weight, and hemoglobin A1c after using the system for 6 months.Method The participants were nine outpatients with type 2 diabetes, aged 34-72 and living in Tokyo or surrounding prefectures. They were instructed to use the electronic food diary and to review the graphs of the total energy intake to control food intake under their own target value for 6 months. After they completed the study, the feasibility indicated by adherence rate for food recording and acceptability of the system rated with 6-point Likert scale from 1 (worst) to 6 (best) by the participants were investigated.Results Seven participants out of nine completed the study protocol. The median adherence rate for food recording was 80.6 %. Regarding the acceptability, six patients rated 6 for desire to use the system while one rated 5. In addition, regarding improvement in self-care for diabetes, the median score was 5. Daily calorie intake, body weight, and HbA1c, however, did not change significantly over the 6-month period.Conclusion The newly developed self-care system might be feasible and acceptable in diabetes patients, which could be applied as an ecological momentary intervention tool, although there was some room to refine it to raise adherence.