一个mHealth短信程序提供症状检测培训和精神教育,以改善低血糖自我管理:干预开发研究
Yu Kuei Lin1, James E Aikens2, Nicole de Zoysa3
1Department of Internal Medicine, University of Michigan, Ann Arbor, MI, United States.
JMIR formative research
|October 3, 2023
概括
低血糖仍然是1型糖尿病 (T1D) 患者使用先进技术的挑战. 一个新的移动健康干预,HypoPals,使用CGM数据来个性化消息,旨在改善症状检测和自我管理行为.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 在糖尿病管理中的行为科学.
- 第1型糖尿病 技术 技术
背景情况:
- 低血糖影响25%的1型糖尿病 (T1D) 患者,尽管使用先进的技术.
- 诸如不良的症状识别和无助的信念等因素阻碍了使用CGM或自动胰岛素输送的T1D患者的低血糖自我管理.
- 这些因素可以导致低血糖的发展,即使有技术辅助.
研究的目的:
- 开发一个可扩展的,个性化的移动健康 (mHealth) 行为干预计划.
- 该计划旨在利用先进的糖尿病技术改善T1D患者的低血糖自我管理.
- 最终目标是减少这一群体中低血糖的发生率.
主要方法:
- 包括患者合作伙伴在内的多学科团队使用以用户为中心的设计开发了mHealth干预措施.
- 代开发涉及概念化,信息内容创建,修订和患者对可读性和可信度的评估.
- 创建了一个基于网络的mHealth短信平台,与CGM数据集成,用于个性化消息传递.
主要成果:
- 根据连续血糖监测 (CGM) 数据,HypoPals 程序提供个性化的短信短信.
- 干预信息的目的是提高低血糖症状的检测,并促进自我反思.
- 信息提供教育,并建议行为,以解决无助的信念和提高自我管理,每天多达4次,持续10周.
结论:
- 使用严格的框架,多学科投入和行为改变技术开发了一个可扩展的,个性化的mHealth SMS干预.
- 该HypoPals计划旨在通过使用先进的糖尿病技术改善T1D患者的低血糖自我管理.
- 需要进行进一步的临床试验,以确认该计划在广泛临床使用中的有效性.
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