实施技术支持的糖尿病自我管理对控制不良糖尿病患者的同行辅导干预:准实验案例研究
Marvyn R Arévalo Avalos1, Ashwin Patel2, Haci Duru3
1School of Social Welfare, University of California Berkeley, Berkeley, CA, United States.
JMIR diabetes
|October 15, 2024
概括
一个技术支持的同行辅导计划改善了糖尿病自我管理和非控制糖尿病患者的HbA1c水平. 该计划有效地解决了健康的社会决定因素,为参与者展示了显著的临床益处.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 糖尿病自我管理对于改善健康结果和降低医疗保健成本至关重要.
- 同行辅导计划提供了一个可扩展的解决方案,以支持糖尿病自我管理和克服障碍.
- 数字平台提高了对糖尿病护理的同行支持的覆盖范围和效率.
研究的目的:
- 评估一项技术支持的同行辅导干预措施,用于糖尿病自我管理.
- 评估同行辅导对患有失控糖尿病的患者的影响.
- 分析用于慢性疾病管理的数字同行支持的实施情况.
主要方法:
- 对300名没有控制的糖尿病的医疗补助患者实施了为期6个月的同行辅导干预.
- 同行教练提供了基于证据的,以目标为导向的会议,解决了健康的行为和社会决定因素 (SDoH).
- 数据包括患者人口统计学,HbA1c水平和干预细节,将参与者与等待名单组进行比较.
主要成果:
- 与等待名单组 (-0.16分) 相比,注册患者的HbA1c显著降低 (-1.37分).
- 基线特征有所不同,注册患者年龄较大,女性更多,更有可能是非洲裔美国人.
- 情绪和药物问题与参与者的亚样本中的HbA1c水平增加有关.
结论:
- 技术支持的同行指导在参与者与非参与者之间显著改善了HbA1c水平.
- 解决情绪压力和药物管理是改善结果的关键.
- 在面临SDoH障碍的边缘化人口中,以人类支持的多式联络数字计划对糖尿病自我管理是有效的.
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