Carroll Aaron E, Marrero David G, Downs Stephen M
Children's Health Services Research, Indiana UNiversity School of Medicine, Indianapolis, Indiana 46202, USA.
Diabetes Technol Ther. 2007 Apr;9(2):158-64. doi: 10.1089/dia.2006.0002.
Type I diabetes is a common chronic disease of childhood. Both the growing influence of peers and the shifting away from parental influence have been implicated as prime elements contributing to poor glycemic outcomes in adolescents. Mobile technology that can be directed towards providing self-management support and modifying potentially negative child parent interaction holds promise to improve control in adolescents with diabetes.
HealthPia, Inc. (Palisades Park, NJ) has developed a prototype system, the HealthPia GlucoPack Diabetes Monitoring System, which integrates a small blood glucose monitoring device into the battery pack of a cell phone. A pilot study used mixed quantitative and qualitative methods to evaluate user satisfaction with the integrated system, including the potential of the device to transmit self-monitoring data to a website for review and analysis by clinicians, parents, and patients.
Adolescents in our study liked the integration of the two technologies and agreed that the glucometer was easy to use and that the tool was useful in the management of their diabetes.
Future work will focus on the utilization of the diabetes phone as a component of a care delivery system for adolescents with diabetes, including involvement of the health care team and enhancement of the web services that support the use of the phone.
1型糖尿病是一种常见的儿童慢性疾病。同伴影响力的不断增加以及逐渐摆脱父母的影响被认为是导致青少年血糖控制不佳的主要因素。能够提供自我管理支持并改善潜在负面亲子互动的移动技术有望改善糖尿病青少年的病情控制。
HealthPia公司(新泽西州帕利塞兹公园)开发了一个原型系统,即HealthPia葡萄糖包糖尿病监测系统,该系统将一个小型血糖监测设备集成到手机电池组中。一项试点研究采用了定量和定性相结合的方法来评估用户对该集成系统的满意度,包括该设备将自我监测数据传输到网站以供临床医生、家长和患者查看及分析的潜力。
我们研究中的青少年喜欢这两种技术的整合,并认同血糖仪易于使用且该工具对他们管理糖尿病很有用。
未来的工作将集中于把糖尿病手机作为糖尿病青少年护理系统的一个组成部分加以利用,包括医疗团队的参与以及对支持手机使用的网络服务的改进。