一项随机对照试验,改善糖尿病成年人的未满足的社会需求和临床结果
Minal R Patel1, Guanghao Zhang2, Michele Heisler3,4,5
1Department of Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA. minalrp@umich.edu.
对于大多数成年人来说,数字健康干预并没有改善糖尿病的结果. 然而,收入较高的参与者经历了更糟糕的血糖控制,这表明需要量身定制的社会需求支持.
科学领域:
- 糖尿病管理 糖尿病管理
- 健康差异 在健康上的差异
- 数字健康干预措施 数字健康干预措施
背景情况:
- 患有糖尿病的成年人经常遇到财务挑战和未满足的社会需求,影响自我管理.
- 这些健康的社会经济决定因素可能会阻碍有效的糖尿病护理和结果.
研究的目的:
- 评估数字干预是否解决了健康的社会经济决定因素,与通常的护理相比,改善了糖尿病成年人的临床结果.
- 评估干预对血糖控制,血压和社会需求的影响.
主要方法:
- 一项随机试验,涉及600名糖尿病成年人 (HbA1c≥7.5%) 和自我报告的未满足的社会需求或财务负担.
- 参与者被随机分配到CareAvenue电子健康干预或标准护理.
- 主要结局是12个月的HbA1c变化;次要结局包括血压,满足社会需求和财务负担.
主要成果:
- 12个月后,干预组和对照组之间没有观察到HbA1c,血压,满足社会需求或财务负担的显著差异.
- 然而,小组分析显示,与对照组相比,家庭收入较高的参与者 (100-400% FPL和>400% FPL) 经历的A1c降低明显较小.
结论:
- 在CareAvenue干预中,血糖控制或其他测量结果的整体改善没有被证明.
- 干预组中收入较高的参与者显示血糖控制较差,这表明当前的社会需求干预可能不是普遍有效的,需要量身定制的方法.
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