了解2型糖尿病自我管理教育和支持计划预计将如何改变行为:对两个方案的文档分析
Márcia Carvalho1, Molly Byrne1, Eanna Kenny1
1Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Republic of Ireland.
Diabetic medicine : a journal of the British Diabetic Association
|September 30, 2023
概括
这项研究确定了糖尿病自我管理计划中的行为改变技术 (BCT). 优化这些BCT可以改善2型糖尿病的管理和患者的治疗结果.
科学领域:
- 健康 行为 健康行为
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 糖尿病自我管理教育和支持 (DSMES) 计划改善了2型糖尿病的结果.
- DSMES计划的有效性可能不一致,并可能随着时间的推移而下降.
- 确定有效的DSMES的关键组件对于程序优化至关重要.
研究的目的:
- 在两个DSMES程序中识别行为改变技术 (BCT),行动机制 (MoA) 和干预功能.
- 为了比较社区导向糖尿病教育和糖尿病教育和自我管理之间的内容变化,对于正在进行和新诊断的程序.
- 了解有助于DSMES有效性的活性成分.
主要方法:
- 一种多个案例研究方法,利用程序材料的文档分析.
- 使用BCT分类学v1,交付方式本体学v1和干预源本体学v1.1进行材料编码.
- 应用行为改变轮指导和理论和技术工具,以确定干预功能和MOA,与利益相关者的反.
主要成果:
- 在两项计划中确定了34个BCT,共有22个共同点.
- 经常发现的BCT包括"目标和规划"",反和监测"和"自然后果".
- BCT与15个MoA联系在一起,主要是"关于能力的信念"",关于后果的信念"和"知识",服务于"教育"",授权"和"说服"功能.
结论:
- 两项DSMES计划都包含多个BCT,但有些BCT未得到充分利用.
- 结合额外的BCT可能会提高计划的有效性.
- 通过BCT解决更广泛的患者障碍可能会改善2型糖尿病管理的长期结果.
相关概念视频
Diabetes: Management and Pharmacotherapy
302
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
302
Stress Prevention and Stress Management Techniques VI
47
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
47
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K
Diabetes Mellitus: Overview and Type I Subtype
2.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.7K
Methods of Documentation VI: Case Management Model
592
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
592


