糖尿病健康扩展计划的有效性,DSMS程序提供了亲自和在线:一个准实验性比较研究
Michelle A Parisi1, Danielle McFall2, Windsor Westbrook Sherrill3
1Nutritional Sciences Department, University of Georgia, Athens, Georgia, USA.
Journal of diabetes research
|October 15, 2025
概括
在线和面对面的糖尿病健康扩展 (HED) 计划都有效地改善了糖尿病自我管理. 人口差异凸显了需要多样化的交付方法,以确保所有参与者的可访问性和参与度.
科学领域:
- 健康科学 卫生科学 卫生科学
- 公共卫生 公共卫生
- 行为医学是一种行为医学.
背景情况:
- 糖尿病是一种常见的慢性疾病,需要有效的自我管理策略.
- 糖尿病自我管理教育和支持 (DSMES) 计划对于预防并发症至关重要.
- 糖尿病健康扩展计划 (HED) 是一个为期4个月的DSMES干预计划.
研究的目的:
- 评估HED计划的在线与面对面交付方法的有效性.
- 评估在线交付是否与亲自交付在糖尿病自我管理方面同样有效.
- 确定人口差异对不同交付方式的健康结果的影响.
主要方法:
- 采用了一个近乎实验性的比较研究设计.
- 包括1018名参与者 (613名在线,405名在线).
- 共同变量的多变量分析 (MANCOVA) 评估了体重,BMI,HbA1c,自我效能,知识和行为的变化,使用程序前和后的数据.
主要成果:
- 在线和面对面的HED模式都导致生物识别和糖尿病结果指标的积极变化.
- 在线HED参与者在人口统计学上有所不同 (年轻,受过更高教育,收入更高) 与面对面的参与者.
- 在线参与者显示出明显更高的糖尿病知识分数;这两种模式都改善了体重和BMI.
结论:
- 在线和面对面的HED都有效地改善了糖尿病自我管理,达到不同的人口群体.
- 提供多种交付方式可以提高不同人群的可访问性和参与度.
- 使用社区-临床联系的HED模型在改善DSMES计划中的健康结果方面是有效的.
相关概念视频
01:12What is an Experiment?
17.3K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
17.3K
01:30Community Based Intervention
273
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
273
01:25Models of Health Promotion and Illness Prevention I
2.7K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.7K
01:22Diabetes Mellitus: Type 2 and Gestational
4.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
4.3K
01:15Diabetes: Management and Pharmacotherapy
867
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
867