Qualitative Evaluation of a Mobile Phone and Web-Based Collaborative Care Intervention for Patients with Type 2 Diabetes
Qualitative Evaluation of a Mobile Phone and Web-Based Collaborative Care Intervention for Patients with Type 2 Diabetes
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DOI：
10.1089/dia.2010.0200
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发表时间：
2011-05-01
影响因子：
5.4
通讯作者：
Ralston, James D.
中科院分区：
文献类型：
--
作者：
Lyles, Courtney Rees;Harris, Lynne T.;Ralston, James D.
背景资料：借鉴之前基于慢性护理模型的基于网络的糖尿病管理计划，我们扩展了干预措施，包括通过移动的手机和游戏机网络浏览器进行护理管理。方法：试点干预措施招募了来自华盛顿大学的八名糖尿病患者在西雅图参加协作护理计划：将他们连接到专门从事糖尿病的护理提供者，提供对其完整电子病历的访问，允许无线葡萄糖上传和与提供者的电子邮件，并通过游戏系统将它们连接到程序的Web服务。为了评估这项研究，我们进行了定性的主题分析semistructured interviews.Results：参与者表示沮丧与使用手机和游戏系统在他们的日常生活中，但喜欢的无线系统与供应商合作上传葡萄糖和接收自动反馈他们的血糖趋势。大多数参与者还表示，他们在试验中的参与增加了他们的健康awareness.Discussion：移动的通信技术显示了基于网络的合作护理计划2型糖尿病的承诺。未来的干预设计应侧重于将易于使用的应用程序集成到患者已经熟悉的移动的技术中，并确保系统允许与护理提供者进行充分的协作。
Background: Drawing on previous web-based diabetes management programs based on the Chronic Care Model, we expanded an intervention to include care management through mobile phones and a game console web browser.Methods: The pilot intervention enrolled eight diabetes patients from the University of Washington in Seattle into a collaborative care program: connecting them to a care provider specializing in diabetes, providing access to their full electronic medical record, allowing wireless glucose uploads and e-mail with providers, and connecting them to the program's web services through a game system. To evaluate the study, we conducted qualitative thematic analysis of semistructured interviews.Results: Participants expressed frustrations with using the cell phones and the game system in their everyday lives, but liked the wireless system for collaborating with a provider on uploaded glucoses and receiving automatic feedback on their blood sugar trends. A majority of participants also expressed that their participation in the trial increased their health awareness.Discussion: Mobile communication technologies showed promise within a web-based collaborative care program for type 2 diabetes. Future intervention design should focus on integrating easy-to-use applications within mobile technologies already familiar to patients and ensure the system allows for sufficient collaboration with a care provider.