用户保留和参与基于数字的糖尿病教育和自我管理的持续和新诊断 (myDESMOND) 计划:描述性的纵向研究
Mary M Barker1,2, Radhika Chauhan1, Melanie J Davies1
1Diabetes Research Centre, University of Leicester, NIHR Leicester Biomedical Research Centre, Leicester, United Kingdom.
JMIR diabetes
|July 21, 2023
概括
数字健康计划显示,2型糖尿病管理的长期保留效果良好. 年龄较大的用户和特定的人口统计数据更容易参与,这表明需要定制策略才能获得更广泛的成功.
科学领域:
- 数字健康数字健康
- 糖尿病管理 糖尿病管理
- 医疗信息学 医疗信息学
背景情况:
- 数字健康干预措施为改善2型糖尿病管理提供了潜力.
- 有限的研究存在于长期的用户保留和参与这些数字程序.
研究的目的:
- 评估用户在myDESMOND数字糖尿病自我管理计划中的长期保留和参与.
- 利用现实世界的数据来评估用户的坚持和交互模式.
主要方法:
- 分析了2020年11月16日之前注册的9522名myDESMOND用户的匿名数据.
- 保留时间定义为从注册到最后一次访问的时间;参与度以登录频率来衡量.
- 考克斯回归和威尔科克森等级总和测试检查了与社会人口统计学因素的关联.
主要成果:
- 17.6%的用户保留超过1年;50岁以上的用户的保留率更高 (HR 0.79).
- 登录的中位数为8,但对于年龄在50岁以下的用户来说更低.
- 参与度因人口统计学因素而异:老年人,女性和白人用户每次登录花费的时间更长.
结论:
- myDESMOND程序显示了高的用户保留和参与度.
- 调查结果表明,需要针对年龄和文化特定的策略,以提高所有用户的程序可访问性和有效性.
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