EMBARK:一个随机对照试验,比较了三种方法来减少糖尿病的痛苦和改善1型糖尿病成年人的HbA1c
Danielle M Hessler1, Lawrence Fisher1, Susan Guzman2
1University of California, San Francisco, San Francisco, CA.
Diabetes care
|May 29, 2024
概括
虚拟小组计划有效地减少了糖尿病困扰,并在1型糖尿病 (T1D) 的成年人中改善了HbA1c. 专注于情感的 TunedIn 计划在两个结果中显示出最一致的好处.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 1型糖尿病 (T1D) 的管理涉及到相当大的心理负担,称为糖尿病困扰 (DD).
- 增加的DD和HbA1c是T1D成年人的常见挑战.
- 需要有效的干预措施来解决DD和血糖控制.
研究的目的:
- 为了比较三个虚拟小组计划在减少DD和改善T1D成年人的HbA1c的有效性.
- 评估一个由教育工作者主导的项目 (Streamline),一个由心理学家主导的项目 (TunedIn) 和一个集成的项目 (FixIt).
主要方法:
- 276名患有T1D,DD和HbA1c升高的成年人被随机分配到三个虚拟组程序中.
- 这些计划包括教育/自我管理 (Streamline),以情感为中心的DD减少 (TunedIn) 或综合 (FixIt).
- 主要结局 (DD和HbA1c) 在基线和3,6和12个月被评估.
主要成果:
- 所有计划都导致DD和HbA1c在12个月内持续减少.
- TunedIn和FixIt显示了比Streamline (P=0.007) 更大的DD减少.
- 精简和调整实现了比FixIt (P=0.006) 更大的HbA1c降低.
结论:
- 在T1D中,以教育/行为和情绪为重点的干预措施都能减少DD并改善HbA1c.
- 专注于情感的 TunedIn 计划证明了DD和HbA1c对DD和HbA1c的最一致的好处.
- 基于小组的,虚拟的,以情感为中心的策略显示出对管理T1D的承诺.
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