基于网络的干预措施对60岁及以上成年人糖尿病相关身体指标的影响：一项随机试验。
The effects of a web-based intervention on the physical outcomes associated with diabetes among adults age 60 and older: a randomized trial.
作者信息
Bond Gail E, Burr Robert, Wolf Fredric M, Price Martha, McCurry Susan M, Teri Linda
机构信息
Department of Psychosocial and Community Health, University of Washington, Seattle, Washington 98195-7263, USA.
出版信息
Diabetes Technol Ther. 2007 Feb;9(1):52-9. doi: 10.1089/dia.2006.0057.
Abstract
BACKGROUND
The emergence of the World Wide Web in the last decade has made it feasible for the Internet to be a vehicle for chronic disease management.
METHODS
A randomized controlled trial (n = 62) testing the effects of a 6-month web-based intervention plus usual care, compared with usual care alone, among adults 60 years of age and older with diabetes. The outcomes were hemoglobin A1c (HbA1c), blood pressure, weight, cholesterol, and high-density lipoprotein (HDL) levels.
RESULTS
A multivariate analysis of covariance controlling for all baseline outcome variables, age, gender, and number of years with diabetes showed significant (P = 0.001) reductions in HbA1c, weight, and cholesterol level and significant improvement in HDL levels in the intervention versus the control group.
CONCLUSIONS
Findings show a web-based intervention was effective in improving HbA1c, weight, cholesterol, and HDL levels at a 6-month follow-up. Future research is needed to investigate the long-term effectiveness of web-based interventions.
摘要
背景
过去十年万维网的出现使互联网成为慢性病管理的一种可行工具。
方法
一项随机对照试验（n = 62），在60岁及以上的糖尿病成年人中，测试为期6个月的基于网络的干预措施加常规护理与单独常规护理相比的效果。结果指标为糖化血红蛋白（HbA1c）、血压、体重、胆固醇和高密度脂蛋白（HDL）水平。
结果
对所有基线结果变量、年龄、性别和糖尿病病程进行协方差控制的多变量分析显示，与对照组相比，干预组的HbA1c、体重和胆固醇水平显著降低（P = 0.001），HDL水平显著改善。
结论
研究结果表明，在6个月的随访中，基于网络的干预措施在改善HbA1c、体重、胆固醇和HDL水平方面有效。需要进一步的研究来调查基于网络的干预措施的长期效果。
相似文献
1
The effects of a web-based intervention on the physical outcomes associated with diabetes among adults age 60 and older: a randomized trial.基于网络的干预措施对60岁及以上成年人糖尿病相关身体指标的影响：一项随机试验。
Diabetes Technol Ther. 2007 Feb;9(1):52-9. doi: 10.1089/dia.2006.0057.
2
Diabetes Prevention and Weight Loss with a Fully Automated Behavioral Intervention by Email, Web, and Mobile Phone: A Randomized Controlled Trial Among Persons with Prediabetes.通过电子邮件、网络和手机进行全自动行为干预预防糖尿病和减肥：一项针对糖尿病前期患者的随机对照试验
J Med Internet Res. 2015 Oct 23;17(10):e240. doi: 10.2196/jmir.4897.
3
Effects of Mobile Text Messaging on Glycemic Control in Patients With Coronary Heart Disease and Diabetes Mellitus: A Randomized Clinical Trial.移动短信对冠心病合并糖尿病患者血糖控制的影响：一项随机临床试验。
Circ Cardiovasc Qual Outcomes. 2019 Sep;12(9):e005805. doi: 10.1161/CIRCOUTCOMES.119.005805. Epub 2019 Aug 31.
4
The effects of a web-based intervention on psychosocial well-being among adults aged 60 and older with diabetes: a randomized trial.基于网络的干预对 60 岁及以上老年糖尿病患者心理社会健康的影响：一项随机试验。
Diabetes Educ. 2010 May-Jun;36(3):446-56. doi: 10.1177/0145721710366758. Epub 2010 Apr 7.
5
Effect of lifestyle interventions on cardiovascular risk factors among adults without impaired glucose tolerance or diabetes: A systematic review and meta-analysis.生活方式干预对葡萄糖耐量未受损或无糖尿病成年人心血管危险因素的影响：一项系统评价和荟萃分析。
PLoS One. 2017 May 11;12(5):e0176436. doi: 10.1371/journal.pone.0176436. eCollection 2017.
6
Effect of a Collaborative Care Model on Depressive Symptoms and Glycated Hemoglobin, Blood Pressure, and Serum Cholesterol Among Patients With Depression and Diabetes in India: The INDEPENDENT Randomized Clinical Trial.印度一项针对伴发抑郁和糖尿病患者的随机临床试验（INDEPENDENT）表明，协同护理模式可改善抑郁症状及糖化血红蛋白、血压和血清胆固醇水平。
JAMA. 2020 Aug 18;324(7):651-662. doi: 10.1001/jama.2020.11747.
7
A randomized controlled trial of weight reduction and exercise for diabetes management in older African-American subjects.一项针对老年非裔美国受试者进行的体重减轻与运动对糖尿病管理作用的随机对照试验。
Diabetes Care. 1997 Oct;20(10):1503-11. doi: 10.2337/diacare.20.10.1503.
8
Web-Based Interventions Targeting Cardiovascular Risk Factors in Middle-Aged and Older People: A Systematic Review and Meta-Analysis.针对中老年人心血管危险因素的基于网络的干预措施：系统评价与荟萃分析
J Med Internet Res. 2016 Mar 11;18(3):e55. doi: 10.2196/jmir.5218.
9
Effect of a Pharmacist-Led Program on Improving Outcomes in Patients with Type 2 Diabetes Mellitus from Northern Cyprus: A Randomized Controlled Trial.北塞浦路斯药师主导的项目对改善 2 型糖尿病患者结局的效果：一项随机对照试验。
J Manag Care Spec Pharm. 2017 May;23(5):573-582. doi: 10.18553/jmcp.2017.23.5.573.
10
Web-Based TangPlan and WeChat Combination to Support Self-management for Patients With Type 2 Diabetes: Randomized Controlled Trial.基于网络的唐派和微信联合用于支持 2 型糖尿病患者自我管理：随机对照试验。
JMIR Mhealth Uhealth. 2022 Mar 30;10(3):e30571. doi: 10.2196/30571.
引用本文的文献
1
The effects of diabetes self-management programs on clinical and patient reported outcomes in older adults: a systematic review and meta-analysis.糖尿病自我管理项目对老年人临床及患者报告结局的影响：一项系统评价与荟萃分析
Front Clin Diabetes Healthc. 2024 Jun 17;5:1348104. doi: 10.3389/fcdhc.2024.1348104. eCollection 2024.
2
The effect of diabetes training through social networks on metabolic control of individuals with type 2 diabetes; a randomized controlled trial.通过社交网络对 2 型糖尿病患者进行糖尿病培训对代谢控制的影响：一项随机对照试验。
J Prev Med Hyg. 2024 Jan 1;64(4):E499-E506. doi: 10.15167/2421-4248/jpmh2023.64.4.3158. eCollection 2023 Dec.
3
Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.糖尿病护理质量改进策略：对成年糖尿病患者结局的影响。
Cochrane Database Syst Rev. 2023 May 31;5(5):CD014513. doi: 10.1002/14651858.CD014513.
4
Tele-Assessment of Functional Capacity through the Six-Minute Walk Test in Patients with Diabetes Mellitus Type 2: Validity and Reliability of Repeated Measurements.通过六分钟步行试验对 2 型糖尿病患者进行远程功能能力评估：复测的有效性和可靠性。
Sensors (Basel). 2023 Jan 25;23(3):1354. doi: 10.3390/s23031354.
5
Effectiveness of Remotely Delivered Interventions to Simultaneously Optimize Management of Hypertension, Hyperglycemia and Dyslipidemia in People With Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.远程干预同时优化糖尿病患者高血压、高血糖和血脂异常管理的效果：随机对照试验的系统评价和荟萃分析。
Front Endocrinol (Lausanne). 2022 Mar 15;13:848695. doi: 10.3389/fendo.2022.848695. eCollection 2022.
6
Awareness, Views, Perceptions, and Beliefs of Pharmacy Interns Regarding Digital Health in Saudi Arabia: Cross-sectional Study.沙特阿拉伯药学实习生对数字健康的认知、观点、看法和信念：横断面研究。
JMIR Med Educ. 2021 Sep 3;7(3):e31149. doi: 10.2196/31149.
7
Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis.移动健康干预措施在促进身体活动和生活方式干预以降低代谢综合征个体心血管风险方面的有效性：系统评价和荟萃分析。
J Med Internet Res. 2020 Aug 31;22(8):e17790. doi: 10.2196/17790.
8
Telerehabilitation intervention for type 2 diabetes.2型糖尿病的远程康复干预
World J Diabetes. 2020 Jun 15;11(6):218-226. doi: 10.4239/wjd.v11.i6.218.
9
Comparing a Social and Communication App, Telephone Intervention, and Usual Care for Diabetes Self-Management: 3-Arm Quasiexperimental Evaluation Study.比较社交和通讯应用程序、电话干预和常规护理对糖尿病自我管理的影响：三臂准实验评估研究。
JMIR Mhealth Uhealth. 2020 Jun 2;8(6):e14024. doi: 10.2196/14024.
10
Effect of a Mobile Phone-Based Glucose-Monitoring and Feedback System for Type 2 Diabetes Management in Multiple Primary Care Clinic Settings: Cluster Randomized Controlled Trial.基于手机的血糖监测和反馈系统对多基层医疗机构 2 型糖尿病管理的效果：集群随机对照试验。
JMIR Mhealth Uhealth. 2020 Feb 26;8(2):e16266. doi: 10.2196/16266.
本文引用的文献
1
Trends in the leading causes of death in the United States, 1970-2002.1970 - 2002年美国主要死因的趋势
JAMA. 2005 Sep 14;294(10):1255-9. doi: 10.1001/jama.294.10.1255.
2
The burden of mortality attributable to diabetes: realistic estimates for the year 2000.糖尿病所致死亡负担：2000年的实际估计数。
Diabetes Care. 2005 Sep;28(9):2130-5. doi: 10.2337/diacare.28.9.2130.
3
Web-based care management in patients with poorly controlled diabetes.针对血糖控制不佳的糖尿病患者的基于网络的护理管理。
Diabetes Care. 2005 Jul;28(7):1624-9. doi: 10.2337/diacare.28.7.1624.
4
The evolving diabetes burden in the United States.美国不断变化的糖尿病负担。
Ann Intern Med. 2004 Jun 1;140(11):945-50. doi: 10.7326/0003-4819-140-11-200406010-00035.
5
Telecare for patients with type 1 diabetes and inadequate glycemic control: a randomized controlled trial and meta-analysis.针对1型糖尿病且血糖控制不佳患者的远程护理：一项随机对照试验和荟萃分析。
Diabetes Care. 2004 May;27(5):1088-94. doi: 10.2337/diacare.27.5.1088.
6
The Self-Administered Comorbidity Questionnaire: a new method to assess comorbidity for clinical and health services research.自我管理的共病问卷：一种用于临床和卫生服务研究中评估共病的新方法。
Arthritis Rheum. 2003 Apr 15;49(2):156-63. doi: 10.1002/art.10993.
7
A comparison of diabetes education administered through telemedicine versus in person.通过远程医疗与亲自进行糖尿病教育的比较。
Diabetes Care. 2003 Apr;26(4):1002-7. doi: 10.2337/diacare.26.4.1002.
8
Telemedicine as a tool for intensive management of diabetes: the DIABTel experience.远程医疗作为糖尿病强化管理的工具：DIABTel 经验
Comput Methods Programs Biomed. 2002 Aug;69(2):163-77. doi: 10.1016/s0169-2607(02)00039-1.
9
Are there time and cost savings by using telemanagement for patients on intensified insulin therapy? A randomised, controlled trial.
Comput Methods Programs Biomed. 2002 Aug;69(2):137-46. doi: 10.1016/s0169-2607(02)00037-8.
10
Can a Back Pain E-mail Discussion Group improve health status and lower health care costs?: A randomized study.背痛电子邮件讨论组能否改善健康状况并降低医疗成本？一项随机研究。
Arch Intern Med. 2002 Apr 8;162(7):792-6. doi: 10.1001/archinte.162.7.792.
Zotero 插件