Hinnen Deborah A, Buskirk Ann, Lyden Maureen, Amstutz Linda, Hunter Tracy, Parkin Christopher G, Wagner Robin
Memorial Hospital Diabetes Center, University of Colorado Health Center, Colorado Springs Colorado, USA.
Roche Diagnostics, Indianapolis, IN, USA.
J Diabetes Sci Technol. 2015 Mar;9(2):293-301. doi: 10.1177/1932296814557188. Epub 2014 Nov 2.
We assessed users' proficiency and efficiency in identifying and interpreting self-monitored blood glucose (SMBG), insulin, and carbohydrate intake data using data management software reports compared with standard logbooks. This prospective, self-controlled, randomized study enrolled insulin-treated patients with diabetes (PWDs) (continuous subcutaneous insulin infusion [CSII] and multiple daily insulin injection [MDI] therapy), patient caregivers [CGVs]) and health care providers (HCPs) who were naïve to diabetes data management computer software. Six paired clinical cases (3 CSII, 3 MDI) and associated multiple-choice questions/answers were reviewed by diabetes specialists and presented to participants via a web portal in both software report (SR) and traditional logbook (TL) formats. Participant response time and accuracy were documented and assessed. Participants completed a preference questionnaire at study completion. All participants (54 PWDs, 24 CGVs, 33 HCPs) completed the cases. Participants achieved greater accuracy (assessed by percentage of accurate answers) using the SR versus TL formats: PWDs, 80.3 (13.2)% versus 63.7 (15.0)%, P < .0001; CGVs, 84.6 (8.9)% versus 63.6 (14.4)%, P < .0001; HCPs, 89.5 (8.0)% versus 66.4 (12.3)%, P < .0001. Participants spent less time (minutes) with each case using the SR versus TL formats: PWDs, 8.6 (4.3) versus 19.9 (12.2), P < .0001; CGVs, 7.0 (3.5) versus 15.5 (11.8), P = .0005; HCPs, 6.7 (2.9) versus 16.0 (12.0), P < .0001. The majority of participants preferred using the software reports versus logbook data. Use of the Accu-Chek Connect Online software reports enabled PWDs, CGVs, and HCPs, naïve to diabetes data management software, to identify and utilize key diabetes information with significantly greater accuracy and efficiency compared with traditional logbook information. Use of SRs was preferred over logbooks.
我们评估了用户使用数据管理软件报告与标准日志记录相比，在识别和解释自我监测血糖（SMBG）、胰岛素及碳水化合物摄入量数据方面的熟练程度和效率。这项前瞻性、自我对照、随机研究纳入了使用胰岛素治疗的糖尿病患者（PWDs）（持续皮下胰岛素输注[CSII]和多次每日胰岛素注射[MDI]治疗）、患者护理人员[CGVs]以及对糖尿病数据管理计算机软件不熟悉的医疗保健提供者（HCPs）。糖尿病专家对六个配对的临床病例（3个CSII，3个MDI）及相关的多项选择题/答案进行了审核，并通过网络门户以软件报告（SR）和传统日志记录（TL）两种格式呈现给参与者。记录并评估了参与者的回答时间和准确性。参与者在研究结束时完成了一份偏好调查问卷。所有参与者（54名PWDs，24名CGVs，33名HCPs）均完成了病例。与TL格式相比，参与者使用SR格式时的准确率更高（以正确答案的百分比评估）：PWDs为80.3（13.2）%对63.7（15.0）%，P <.0001；CGVs为84.6（8.9）%对63.6（14.4）%，P <.0001；HCPs为89.5（8.0）%对66.4（12.3）%，P <.0001。与TL格式相比，参与者使用SR格式处理每个病例所花费的时间更少（分钟）：PWDs为8.6（4.3）对19.9（12.2），P <.0001；CGVs为7.0（3.5）对15.5（11.8），P =.0005；HCPs为6.7（2.9）对I6.0（12.0），P <.0001。大多数参与者更喜欢使用软件报告而非日志记录数据。使用罗氏卓越型血糖仪在线软件报告使不熟悉糖尿病数据管理软件的PWDs、CGVs和HCPs能够以比传统日志记录信息显著更高的准确性和效率识别和利用关键糖尿病信息。与日志记录相比，参与者更喜欢使用SRs。
