Internet-based incentives increase blood glucose testing with a non-adherent, diverse sample of teens with type 1 diabetes mellitus: a randomized controlled Trial.
Internet-based incentives increase blood glucose testing with a non-adherent, diverse sample of teens with type 1 diabetes mellitus: a randomized controlled Trial.
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基于互联网的激励措施通过非依从性、多样化的 1 型糖尿病青少年样本增加了血糖测试：一项随机对照试验。
DOI：
10.1007/s13142-016-0397-5
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发表时间：
2016
影响因子：
3.6
通讯作者：
Jitnarin,Natinee
中科院分区：
文献类型：
--
作者：
Raiff,BethanyR;Barrry,VictoriaB;Ridenour,TyA;Jitnarin,Natinee
青少年1型糖尿病患者不坚持自我监测血糖（SMBG）可能是一个问题。本研究的目的是探讨使用基于互联网的激励措施来提高非依从性青少年对SMBG的依从性的可行性、可接受性和初步效果。参与者被随机分配到偶然性组（CS；N= 23），在那里他们必须达到网络摄像头验证的SMBG目标才能获得奖励，或者非偶然性组（NS = 18），在那里他们获得独立于坚持的奖励。在干预前进行简短的动机性访谈（MI）。CS组的损耗率为15%。参与者和家长对干预的所有方面都表示赞同。每日SMBG在一次MI治疗后增加，在增加激励措施后进一步增加，但在老年参与者中明显增加。随着时间的推移，SMBG缓慢下降，但仅在年轻的NS参与者中恢复到基线水平。基于互联网的激励干预措施是可行的、可接受的，并且有望提高SMBG的依从性。
Non-adherence with self-monitoring blood glucose (SMBG) among teenagers with type 1 diabetes can be a problem. The purpose of this study was to investigate the feasibility, acceptability, and preliminary efficacy of using Internet-based incentives to improve adherence with SMBG in non-adherent teenagers. Participants were randomly assigned to contingent (CS;N= 23), where they had to meet web camera-verified SMBG goals to earn incentives, or non-contingent (NS) groups (N= 18), where they earned incentives independent of adherence. Brief motivational interviewing (MI) was given prior to the intervention. Attrition was 15 % in the CS group. Participants and parents endorsed the intervention on all intervention dimensions. Daily SMBG increased after one MI session, and further increased when incentives were added, but significantly more for so for older participants. SMBG declined slowly over time, but only returned to baseline levels for younger NS participants. Internet-based incentive interventions are feasible, acceptable, and show promise for improving adherence with SMBG.