Mantwill Sarah, Fiordelli Maddalena, Ludolph Ramona, Schulz Peter J
Institute of Communication & Health, University of Lugano, Via Giuseppe Buffi 13, 6904, Lugano, Switzerland.
BMC Med Inform Decis Mak. 2015 Mar 20;15:18. doi: 10.1186/s12911-015-0142-x.
Diabetes education together with patient empowerment has shown to be key to effective self-management behavior. When delivered through information and communication technologies (ICT), this solution has shown to lead to better health outcomes. However, the potential of ICT and their integration into the healthcare environment have not yet been fully exploited. ICT should be in particular used to facilitate communication and information exchange between patient and healthcare providers. In addition, systems should include components facilitating behavior change using empowerment approaches such as goal-setting.
METHODS/DESIGN: Funded by the European Commission (FP7-ICT-2011-288209) a web/mobile based platform (EMPOWER) has been developed, which aims at supporting self-management activities of diabetes patients and their treating physicians in Germany and Turkey. The platform semantically integrates multiple information sources, such as electronic and personal health records (EHR/PHR). Patients can register patterns of daily living, record blood glucose levels, design disease management plans and set long- and short-term goals. The project actively involves the treating physician, who has the possibility to set recommendations for the patient and to monitor his/her progress on the platform. In the test-phase of EMPOWER, patients will be assigned to an intervention group and a control group. Data will be collected at baseline and three months after the intervention started. In addition, qualitative interviews will be conducted to collect extra information on usability and usefulness. Outcome measures include amongst others the Problem Areas in Diabetes questionnaire (PAID), the Summary of Diabetes Self-Care Activities and scales evaluating doctor-patient interaction. Physiological parameters, such as physical activity or blood glucose levels will be collected via the platform. Further, log files and number of logins will serve as independent variables.
The interplay between multiple sources, including EHR, patients' own registered information and physicians' recommendations on one platform can have important practice implications. It might not only improve self-management activities in diabetes patients but it will also facilitate physician's work, and ultimately the physician patient relationship.
The trial has been registered with Deutsches Register Klinischer Studien (German register of clinical trials) under DRKS00007699 on January 30, 2015.
糖尿病教育与患者赋权已被证明是有效自我管理行为的关键。通过信息通信技术（ICT）提供这种教育时，该解决方案已显示能带来更好的健康结果。然而，ICT的潜力及其在医疗环境中的整合尚未得到充分利用。尤其应利用ICT促进患者与医疗服务提供者之间的沟通和信息交流。此外，系统应包括使用目标设定等赋权方法促进行为改变的组件。
方法/设计：由欧盟委员会资助（FP7-ICT-2011-288209），开发了一个基于网络/移动的平台（EMPOWER），旨在支持德国和土耳其糖尿病患者及其治疗医生的自我管理活动。该平台语义整合了多个信息源，如电子和个人健康记录（EHR/PHR）。患者可以记录日常生活模式、记录血糖水平、设计疾病管理计划并设定长期和短期目标。该项目积极让治疗医生参与，医生有可能为患者设定建议并在平台上监测其进展。在EMPOWER的测试阶段，患者将被分配到干预组和对照组。将在基线和干预开始三个月后收集数据。此外，将进行定性访谈以收集关于可用性和有用性的额外信息。结果测量包括糖尿病问题领域问卷（PAID）、糖尿病自我护理活动总结以及评估医患互动的量表等。生理参数，如身体活动或血糖水平将通过该平台收集。此外，日志文件和登录次数将作为自变量。
多个来源之间的相互作用，包括一个平台上的EHR、患者自己注册的信息和医生的建议，可能具有重要的实践意义。这不仅可能改善糖尿病患者的自我管理活动，还将促进医生的工作，并最终改善医患关系。
该试验于2015年1月30日在德国临床试验注册中心（DRKS）注册，注册号为DRKS00007699。
