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为糖尿病自我管理开发可定制的短信干预:参与式设计方法
Stephanie A Robinson1,2, Popy Shell3, Linda Am1
1Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, United States.
JMIR formative research
|January 13, 2026
概括
研究人员开发了两种自动化短信系统,以支持退伍军人糖尿病自我管理. 一个版本提供标准教育,而另一个版本提供交互式,可定制的消息,以提高患者参与度.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 移动健康 (mHealth) 服务提供商
- 慢性疾病管理 慢性疾病管理
背景情况:
- 失控的糖尿病会导致严重的并发症和死亡率.
- 有效的糖尿病自我管理至关重要,但通常受到有限的教育和支持的阻碍.
- 自动化短信系统为提供糖尿病自我管理教育提供了可扩展的解决方案.
研究的目的:
- 开发一个自动化短信系统的两个版本,用于糖尿病自我管理.
- 创建一个标准的,仅用于教育的干预 (糖尿病自我管理支持;DSMS).
- 创建一个交互式,可定制的干预 (DSMS+).
主要方法:
- 参与式设计方法涉及退伍军人和临床医生.
- 通过调查,采访和专家审查,反复改进消息内容.
- 进行Beta测试以确保可行性,并为最终调整提供信息.
主要成果:
- 两种干预措施,DSMS和DSMS+,是使用VA的Annie短信系统开发的.
- 调查显示消息是相关的和增强信心;采访指导内容和频率的偏好.
- 专家审查和beta测试提升了信息的安全性,适当性,清晰性和时机.
结论:
- 针对患有糖尿病的美国退伍军人,成功开发了两种不同的短信干预措施.
- DSMS提供标准内容,而DSMS+提供个性化,交互式支持.
- 未来的试验将评估定制是否能改善移动健康干预的参与度和健康结果.
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