一个超理论模型的基于在线干预,以改善中国成年人新诊断的2型糖尿病的药物坚持:一项混合方法研究
Baolu Zhang1,2, Surintorn Kalampakorn1, Arpaporn Powwattana1
1Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Journal of primary care & community health
|July 30, 2024
概括
一个基于 Transtheoretical Model (TTM) 的在线程序显著改善了新诊断的2型糖尿病 (T2DM) 患者的药物坚持和血糖控制. 该干预促进了积极的行为改变和提高自我效能,证明了数字健康教育的有效性.
科学领域:
- 内分泌学 在内分泌学.
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 在中国,2型糖尿病 (T2DM) 患病率上升.
- 药物不服药是失控T2DM的一个关键因素.
- 跨理论模型 (TTM) 在线T2DM遵守干预中的有限应用.
研究的目的:
- 开发和评估基于TTM的在线健康教育计划.
- 评估该计划对变化阶段 (SOC) 运动,自我效能和药物坚持的影响.
- 确定该计划对新诊断T2DM患者的HbA1c水平的影响.
主要方法:
- 连续混合方法研究 (2023年4月至2024年3月).
- 对32名参与者的经验进行了初步的定性探索.
- 在干预 (n=91) 和比较 (n=98) 组中,准实验设计了189名新诊断的T2DM患者.
主要成果:
- 干预组显示了显著更高的积极SOC运动 (Adj OR=13.69,P<.001).
- 在6个月的干预组中,改善了药物坚持得分 (MMAS-8,P<.001) 和自我有效性 (CDMSS-11,P=.03).
- 在3个月和6个月实现临床显著HbA1c降低的可能性更大 (P<.001).
结论:
- 基于TTM的在线课程可以有效地促进T2DM管理中的行为变化.
- 数字干预增强了自我效能和药物坚持.
- 在线TTM干预有助于改善新诊断T2DM患者的血糖控制.
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