COMPUTER MEDIATED SUPPORT FOR DIABETES SELF-MANAGEMENT

计算机介导的糖尿病自我管理支持

• 批准号: 2900326
• 负责人: H GARTH MCKAY
• 金额: $ 42.25万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-04-15 至 2001-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2900326
• 关键词: Internet; behavior therapy; behavioral /social science research tag; clinical research; clinical trials; computer assisted patient care; computer system design /evaluation; diabetes education; diabetes mellitus therapy; human subject; human therapy evaluation; lifestyle; noninsulin dependent diabetes mellitus; peer group; self care; social support network; telecommunications

DESCRIPTION: This project will employ a technologically sophisticated, accessible telecommunications approach to provide diabetes self-management counseling and support for adult patients with non-insulin dependent diabetes (NIDDM). A home-based computer network via the Internet will provide information, feedback and emotional support to participants to help improve self-management and glycemic control and reduce cardiovascular risk. Such a system is technically feasible and has been shown to be attractive and used by patients with other chronic diseases, and is currently being piloted. Following a year of formative and qualitative evaluation to ensure that the system is user friendly and stable, 300 heterogeneous participants will receive basic information on diabetes and will complete assessment instruments via computer. Two important factors will be investigated within a 2 (peer social support group) X 2 (personalized self-management skills training with feedback) randomized clinical trial. The impact of these interventions on network use, self-management behaviors, physiological outcomes, quality of life, medical utilization, and patient satisfaction will be assessed. Process measures will include changes in perceived social support, diabetes problem-solving skills, and several program implementation variables, the latter of which will be automatically tracked by the computer network system. This study builds upon prior work that has developed and partly validated a model of diabetes self-management. Results from this project should have implications not only for diabetes management, but also for similar self-management issues for other chronic diseases.

描述：该项目将采用一种技术先进的 提供糖尿病自我管理的无障碍电信方法 成人非胰岛素依赖型患者的咨询与支持 糖尿病(NIDDM)。通过互联网的家庭计算机网络将 向参与者提供信息、反馈和情感支持以提供帮助 改善自我管理和血糖控制，降低心血管风险。 这样的系统在技术上是可行的，并已被证明是有吸引力的。 并被其他慢性病患者使用，目前正在 飞行员。 经过一年的形成性和定性评估，以确保 系统用户友好且稳定，300名不同的参与者将 接收有关糖尿病的基本信息，并将完成评估 通过计算机实现的仪器。两个重要因素将在 A 2(同伴社会支持小组)X 2(个性化自我管理技能 带反馈的训练)随机临床试验。这些因素的影响 对网络使用、自我管理行为、生理的干预 结果、生活质量、医疗利用和患者满意度 将会被评估。流程措施将包括感知到的社交网络的变化 支持、糖尿病问题解决技能和几个项目的实施 变量，后者将由计算机自动跟踪 网络系统。 这项研究建立在先前的工作基础上，这些工作已经开发并部分验证了 糖尿病自我管理模式。这个项目的结果应该是 不仅对糖尿病管理有影响，而且对类似的 其他慢性病的自我管理问题。