首页> 美国卫生研究院文献>Diabetes Spectrum : A Publication of the American Diabetes Association >Going Mobile With Diabetes Support: A Randomized Study of a Text Message–Based Personalized Behavioral Intervention for Type 2 Diabetes Self-Care
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Going Mobile With Diabetes Support: A Randomized Study of a Text Message–Based Personalized Behavioral Intervention for Type 2 Diabetes Self-Care

机译:在糖尿病的支持下移动:基于文本消息的2型糖尿病自我护理的个性化行为干预的随机研究

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摘要

>Objective. Patients with type 2 diabetes often fail to achieve self-management goals. This study tested the impact on glycemic control of a two-way text messaging program that provided behavioral coaching, education, and testing reminders to enrolled individuals with type 2 diabetes in the context of a clinic-based quality improvement initiative. The secondary aim examined patient interaction and satisfaction with the program.>Methods. Ninety-three adult patients with poorly controlled type 2 diabetes (A1C >8%) were recruited from 18 primary care clinics in three counties for a 6-month study. Patients were randomized by a computer to one of two arms. Patients in both groups continued with their usual care; patients assigned to the intervention arm also received from one to seven diabetes-related text messages per day depending on the choices they made at enrollment. At 90 and 180 days, A1C data were obtained from the electronic health record and analyzed to determine changes from baseline for both groups. An exit survey was used to assess satisfaction. Enrollment behavior and interaction data were pulled from a Web-based administrative portal maintained by the technology vendor.>Results. Patients used the program in a variety of ways. Twenty-nine percent of program users demonstrated frequent engagement (texting responses at least three times per week) for a period of ≥90 days. Survey results indicate very high satisfaction with the program. Both groups’ average A1C decreased from baseline, possibly reflecting a broader quality improvement effort underway in participating clinics. At 90 and 180 days, there was no statistically significant difference between the intervention and control groups in terms of change in A1C (P >0.05).>Conclusions. This study demonstrated a practical approach to implementing and monitoring a mobile health intervention for self-management support across a wide range of independent clinic practices.
机译:>目标。2型糖尿病患者经常无法实现自我管理的目标。这项研究测试了双向文本消息传递程序对血糖控制的影响,该程序在基于临床的质量改善计划的背景下,为已登记的2型糖尿病患者提供了行为指导,教育和测试提醒。次要目的是检查患者对该程序的交互作用和满意度。>方法。从3个县的18家初级保健诊所招募了93名2型糖尿病控制不佳(A1C> 8%)的成年患者。 6个月的学习。通过计算机将患者随机分为两组。两组患者均继续常规护理。分配给干预部门的患者每天也会收到1到7条与糖尿病相关的短信,具体取决于他们在注册时所做的选择。在90天和180天时,从电子健康记录中获取A1C数据,并进行分析以确定两组的基线变化。出口调查用于评估满意度。登记行为和交互数据是从技术供应商维护的基于Web的管理门户中提取的。>结果。患者以各种方式使用了该程序。 29%的计划用户表现出频繁参与(每周至少发3次短信)≥90天。调查结果表明对该程序非常满意。两组的平均A1C均较基线下降,这可能反映了参与诊所正在开展更广泛的质量改进工作。在90天和180天时,干预组和对照组之间的A1C变化无统计学意义(P> 0.05)。>结论。。本研究证明了实施和监测A1C的实用方法移动健康干预,可在广泛的独立临床实践中提供自我管理支持。

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