使用数字短信干预来支持2型糖尿病患者口服药物坚持的经验:定性过程评估
Nikki Newhouse1, Yvonne Kiera Bartlett2, Sara Correia Simao2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Journal of medical Internet research
|June 6, 2025
概括
使用SMS短信的数字健康干预措施,如支持通过移动消息和糖尿病的数字健康技术 (SuMMiT-D),为2型糖尿病管理提供了整体的好处. 该研究强调了环境和个人需求在最大限度地提高这些数字健康工具的有效性方面的重要性.
科学领域:
- 数字健康数字健康
- 行为科学 行为科学
- 糖尿病管理 糖尿病管理
背景情况:
- 对口服糖尿病药物的不良坚持会增加健康并发症的风险.
- 数字干预,特别是短信短信,可以增强慢性疾病的自我管理.
- SuMMiT-D干预使用基于证据的短信来改善2型糖尿病患者的药物坚持.
研究的目的:
- 探索影响SuMMiT-D干预的上下文因素.
- 识别自我报告的行为和态度变化的机制.
- 了解参与者对糖尿病自我管理的数字健康技术的经验.
主要方法:
- 在随机对照试验中进行的嵌套定性过程研究.
- 接受SuMMiT-D干预的43名2型糖尿病患者接受了半结构化的电话采访.
- 诱导性主题分析用于分析采访数据.
主要成果:
- 两个总体主题出现了:背景因素和变化机制.
- SuMMiT-D干预提供了整体的好处,支持自我管理的认知,信念和行为.
- 感知到的信息价值是动态的,受个人需求,日常,生活方式,糖尿病理解,社会关系和态度的影响.
结论:
- 让个人纵向地参与健康思维和询问背景是有价值的.
- 健康信息提供了整体的好处,与不同参与者的意外的积极评价.
- 这些发现挑战了关于谁从数字健康干预中获益最多的假设.
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