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用于肥胖症治疗、糖尿病治疗及心血管代谢风险预防中个性化远程医疗辅助以改善生活方式的PREDIRCAM电子健康平台:一项试点研究(PREDIRCAM 1)

PREDIRCAM eHealth platform for individualized telemedical assistance for lifestyle modification in the treatment of obesity, diabetes, and cardiometabolic risk prevention: a pilot study (PREDIRCAM 1).

作者信息

González Cintia, Herrero Pau, Cubero José M, Iniesta José M, Hernando M Elena, García-Sáez Gema, Serrano Alvaro J, Martinez-Sarriegui Iñaki, Perez-Gandia Carmen, Gómez Enrique J, Rubinat Esther, Alcantara Valeria, Brugués Eulalia, Chico Ana, Mato Eugenia, Bell Olga, Corcoy Rosa, de Leiva Alberto

机构信息

CIBER-BBN: Networking Research Centre for Bioengineering, Biomaterials, and Nanomedicine, Barcelona, Spain.

出版信息

J Diabetes Sci Technol. 2013 Jul 1;7(4):888-97. doi: 10.1177/193229681300700411.

Abstract

BACKGROUND

Healthy diet and regular physical activity are powerful tools in reducing diabetes and cardiometabolic risk. Various international scientific and health organizations have advocated the use of new technologies to solve these problems. The PREDIRCAM project explores the contribution that a technological system could offer for the continuous monitoring of lifestyle habits and individualized treatment of obesity as well as cardiometabolic risk prevention.

METHODS

PREDIRCAM is a technological platform for patients and professionals designed to improve the effectiveness of lifestyle behavior modifications through the intensive use of the latest information and communication technologies. The platform consists of a web-based application providing communication interface with monitoring devices of physiological variables, application for monitoring dietary intake, ad hoc electronic medical records, different communication channels, and an intelligent notification system. A 2-week feasibility study was conducted in 15 volunteers to assess the viability of the platform.

RESULTS

The website received 244 visits (average time/session: 17 min 45 s). A total of 435 dietary intakes were recorded (average time for each intake registration, 4 min 42 s ± 2 min 30 s), 59 exercises were recorded in 20 heart rate monitor downloads, 43 topics were discussed through a forum, and 11 of the 15 volunteers expressed a favorable opinion toward the platform. Food intake recording was reported as the most laborious task. Ten of the volunteers considered long-term use of the platform to be feasible.

CONCLUSIONS

The PREDIRCAM platform is technically ready for clinical evaluation. Training is required to use the platform and, in particular, for registration of dietary food intake.

摘要

背景

健康饮食和规律的体育活动是降低糖尿病和心血管代谢风险的有力手段。各种国际科学和健康组织都提倡使用新技术来解决这些问题。PREDIRCAM项目探索了一种技术系统在持续监测生活方式习惯、肥胖个体化治疗以及心血管代谢风险预防方面所能做出的贡献。

方法

PREDIRCAM是一个面向患者和专业人员的技术平台,旨在通过大量使用最新的信息和通信技术来提高生活方式行为改变的有效性。该平台由一个基于网络的应用程序组成,该程序提供与生理变量监测设备的通信接口、饮食摄入监测应用程序、特设电子病历、不同的通信渠道以及一个智能通知系统。在15名志愿者中进行了为期2周的可行性研究,以评估该平台的可行性。

结果

该网站收到244次访问(平均每次会话时间:17分45秒)。共记录了435次饮食摄入(每次摄入记录的平均时间为4分42秒±2分30秒),在20次心率监测器下载中记录了59次锻炼,通过一个论坛讨论了43个话题,15名志愿者中有11名对该平台表示了好评。食物摄入记录被报告为最费力的任务。10名志愿者认为长期使用该平台是可行的。

结论

PREDIRCAM平台在技术上已准备好进行临床评估。使用该平台需要培训,特别是在记录饮食摄入方面。

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