StepAdd:基于社会认知理论的个性化mHealth干预,以增加2型糖尿病患者的体力活动
Wei Thing Sze1, Kayo Waki2, Syunpei Enomoto3
1Department of Biomedical Informatics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Planning, Information and Management, The University of Tokyo Hospital, Tokyo, Japan.
Journal of biomedical informatics
|August 30, 2023
概括
一个移动健康应用程序有效地提高了2型糖尿病患者的体力活动,显著增加了每天的步骤和改善健康标志物. 这种干预措施提高了自我护理技能,并证明了高可行性.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 糖尿病管理 糖尿病管理
- 行为科学 行为科学
背景情况:
- 2型糖尿病需要有效的促进体育活动的策略.
- 移动健康 (mHealth) 干预为患者的自我管理提供了一个有希望的途径.
- 社会认知理论 (SCT) 为行为改变提供了一个框架.
研究的目的:
- 评估2型糖尿病患者个性化mHealth干预措施的初步有效性和可行性.
- 通过自我监测,目标设定和自动反来促进身体活动.
- 评估改善的健康结果和自我护理行为.
主要方法:
- 这是一项为期12周的试点研究,涉及33名2型糖尿病患者.
- 使用StepAdd mHealth应用程序进行每日步数,体重和血压监测.
- 整合了基于应用程序的目标设定,障碍识别,应对策略开发和药剂师领导的指导.
主要成果:
- 每天步数显著增加 (86.7%,p < 0.0001).
- 在HbA1c (p = 0.0001) 和BMI (p = 0.0038) 中观察到的改善.
- 报告说,糖尿病自我护理,自我管理,自我调节和自我有效性得到了改善,其保留率为97.0%.
结论:
- 基于SCT的基于智能手机的个性化mHealth干预措施是可行的,并且有效地促进2型糖尿病的身体活动.
- 这种干预方法显示出在其他患者群体中应用的潜力.
- 移动健康工具可以使患者加强糖尿病自我护理并实现健康目标.
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