2型糖尿病患者的移动健康干预:一项随机临床试验
Ben S Gerber1,2, Alana Biggers2, Jessica J Tilton3
1Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester.
JAMA network open
|September 29, 2023
概括
临床药剂师和健康教练使用的移动健康工具显著改善了2型糖尿病非洲裔美国人和拉丁裔成年人的血红蛋白A1c (HbA1c) 水平,从而有可能减少健康差异.
科学领域:
- 数字健康数字健康
- 糖尿病管理 糖尿病管理
- 健康差异 在健康上的差异
背景情况:
- 2型糖尿病不成比例地影响着非洲裔美国人和拉丁裔人口.
- 移动健康 (mHealth) 干预措施在治疗慢性疾病方面表现有前途.
- 现有的干预措施可能无法充分满足不同患者群体的需求.
研究的目的:
- 评估由临床药剂师和健康教练提供的移动健康 (mHealth) 干预措施在改善2型糖尿病非洲裔美国人和拉丁裔成年人的血糖控制 (HbA1c) 的有效性.
- 评估mHealth工具对二次结果的影响,包括血压,胆固醇和生活质量.
主要方法:
- 一项随机临床试验,涉及221名非洲裔美国人或拉丁裔患者,患有2型糖尿病和HbA1c升高 (≥8%).
- 参与者接受了为期一年的移动健康干预 (远程医疗,短信,面对面指导),然后接受通常的护理,或者接受通常的护理,然后接受移动健康干预.
- 结果,包括HbA1c,在24个月的时间内每6个月测量一次.
主要成果:
- 在第一年,mHealth干预组的平均HbA1c降低为-0.79个百分点,而对照组的平均降低为-0.24个百分点 (P=.005).
- 等候名单对照组在第二年接受干预后实现了类似的HbA1c降低 (-0.57个百分点).
- 在两组之间的二次结果中没有发现显著差异.
结论:
- 临床药剂师和健康教练提供的移动健康干预可以有效地改善2型糖尿病的非洲裔美国人和拉丁裔成年人的HbA1c水平.
- 这种方法有可能减少糖尿病护理中的种族和民族差异.
- 持续的好处和对二次结果的影响需要进一步调查.
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