Develop a Prototype Personal Health Record Application (PHR-A) that Captures Information About Daily Living Important for Diabetes and Provides Decision Support with Actionable Advice for Diabetes Self Care.

摘要

The overarching vision of this project is to help people with diabetes better manage their condition by providing them with a tool that will make self-management less confusing, less stressful, and less constrained. This is a two-phase project. In phase 1, we designed an Internet-based and mobile application (software) to assist with the following domains pertinent to diabetes self-management: 1) nutrition/diet (healthy eating) 2) physical activity (being active); 3) blood glucose (self-monitoring); 4) medications (tracking and adherence only); 5) outlook and beliefs; and 6) reducing risks through recommended medical visits, lab testing. Although not a primary focus, the application also addresses weight management and loss. The application is called Tracking My Diabetes (TMD). Using information that TMD receives on these self-management domains (from the user's own monitoring/journaling devices that store data in Microsoft HealthVault and/or from the user's manual data entry directly into TMD), TMD analyzes, interprets, provides feedback, and makes recommendations bolstered by educational content on diabetes self-management. All of the feedback and recommendations are focused on lifestyle. Some feedback provides information on the relationships among the various self-care domains. In phase 2, the project is conducting a brief pilot study of the clinical efficacy of the PHR-A in people with diabetes. The main outcome is glycemic control.