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实施多种行为自我监测干预对2型糖尿病饮食摄入量的影响:二次数据分析
Jisook Ko1, Jing Wang2, Ngozi Mbue3
1UT Health San Antonio, San Antonio, TX, United States.
JMIR formative research
|August 20, 2024
概括
移动日记有效地支持糖尿病患者对饮食摄入量的自我监测,从而减少能量,脂肪和碳水化合物消耗. 在这种糖尿病自我管理干预中,手机和纸质方法都取得了成功.
科学领域:
- 糖尿病 自主管理 糖尿病 自主管理
- 营养科学 营养科学
- 数字健康干预措施 数字健康干预措施
背景情况:
- 移动电子日记显示生活方式监控的希望,与传统方法相比.
- 在糖尿病人群中使用技术自我监测多种饮食行为的有效性仍未得到充分研究.
研究的目的:
- 为了比较技术辅助自我监测与纸质日记对饮食摄入量变化的影响.
- 评估2型糖尿病患者的饮食摄入量变化.
主要方法:
- 一个为期3个月的试点临床试验的二次分析,涉及39名2型糖尿病患者.
- 评估总能量摄入量的变化,以及脂肪和碳水化合物摄入量对总热量的百分比贡献,从基线到干预.
- 利用线性混合建模来分析饮食摄入数据.
主要成果:
- 大多数参与者 (67%) 喜欢移动日记,而不是纸质日记.
- 移动日记用户对自我监控的坚持略高.
- 与基线相比,总能量摄入量 (P=.005),食脂肪摄入量 (P=.01) 和碳水化合物摄入量 (P=.08) 显著减少.
- 移动日记组和纸质日记组之间没有发现饮食变化的显著差异 (P>.05).
结论:
- 在糖尿病自我管理教育计划中,一个为期3个月的自我监测干预,无论采用什么方法 (移动或纸质),都成功地减少了饮食摄入量 (能量,脂肪,碳水化合物).
- 参与者对自我监测工具的偏好并没有显著改变干预结果.
- 需要进一步的长期研究来验证这些发现,并探索其他行为和疾病相关的结果.
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