Kulnawan Nittayawan, Jiamjarasrangsi Wiroj, Suwanwalaikorn Sompong, Kittisopee Tanattha, Meksawan Kulwara, Thadpitakkul Natthanan, Mongkung Kattiya
Faculty of Pharmacy, Huacheiw Chalermphrakiet University, Samutprakan, Thailand.
J Med Assoc Thai. 2011 Oct;94(10):1189-97.
Develop the diabetes telephone-linked care system for self-management support and test acceptability in terms of system uses, satisfaction and perception of easiness, helpfulness, and emotion with the system.
The automated telephone system with diabetes knowledge interactive voice response (IVR) subsystem was developed to provide diversified curriculum arrangement including general knowledge module (Knowledge IVR, suggestive segment module (Suggestive IVR) and 10 QA sets for assessment with tailored information feedback (QA IVR). The system could deliver 1,120 messages over five weeks among 112 intervened participants of the on-going randomized controlled trial on its impact on glycemic control. The system analyzed the level of completed responses.
Overall, 25.9% of the responses were intermittent, 46.4% had consistent adherences, 14.3% were poor responses, and 13.4% were non-responses. The total time use of the system, among 97/112 participants, was 6,189 minutes (mean 63.80, SD 26 63). The degree of call completeness did not vary according to the participant's socio-economic status, glycemic level, or years of diabetes diagnosis. The satisfaction of participants to the program was done by interviewed by telephone among 95 of 112 participants. Most study participants reported that they were very/moderately satisfied with the program (89.5%) regarding its usefulness and helpfulness on awareness, understanding and reminding behavior change attempts. In all, 95.8% of the responders planned to participate in the next program. Duration of time uses of the TLC was significantly correlated to the total scores of helpfulness and of emotion (p < 0.01; r = 0.38 and 0.31 respectively).
This prototype of diabetes telephone-linked care for Thai diabetes is a step forward in response to diabetes self-management education need. Further studies are needed about its efficacies on diabetes self-management improvement and glycemic control, as well as its cost-effectiveness.
开发糖尿病电话关联护理系统以提供自我管理支持，并从系统使用情况、满意度以及对系统的易用性、帮助性和情感感知等方面测试其可接受性。
开发了具有糖尿病知识交互式语音应答（IVR）子系统的自动电话系统，以提供多样化的课程安排，包括一般知识模块（知识IVR）、提示性片段模块（提示性IVR）以及10套用于评估并提供定制信息反馈的问答集（问答IVR）。该系统在为期五周的时间里，向正在进行的关于其对血糖控制影响的随机对照试验的112名干预参与者发送了1120条信息。系统分析了完成回复的水平。
总体而言，25.9%的回复是间歇性的，46.4%有持续的依从性，14.3%回复不佳，13.4%无回复。在97/112名参与者中，系统的总使用时间为6189分钟（平均63.80，标准差26.63）。通话完整性程度不因参与者的社会经济地位、血糖水平或糖尿病诊断年限而有所不同。在112名参与者中的95名中，通过电话访谈了解了他们对该项目的满意度。大多数研究参与者表示，他们对该项目在提高认识、理解和提醒行为改变尝试方面的有用性和帮助性非常/中度满意（89.5%）。总的来说，95.8%的回复者计划参加下一个项目。TLC的使用时间与帮助性总分和情感总分显著相关（p < 0.01；r分别为0.38和0.31）。
这个泰国糖尿病电话关联护理原型是满足糖尿病自我管理教育需求的一项进展。需要进一步研究其在改善糖尿病自我管理和血糖控制方面的疗效，以及其成本效益。
