Balkhi Amanda M, Reid Adam M, Westen Sarah C, Olsen Brian, Janicke David M, Geffken Gary R
Amanda M Balkhi, Adam M Reid, Sarah C Westen, David M Janicke, Gary R Geffken, Department of Clinical and Health Psychology, University of Florida, Gainesville, FL 32611, United States.
World J Diabetes. 2015 Apr 15;6(3):371-9. doi: 10.4239/wjd.v6.i3.371.
Type 1 diabetes is a chronic illness with a high burden of care. While effective interventions and recommendations for diabetes care exist, the intensive nature of diabetes management makes compliance difficult. This is especially true in children and adolescents as they have unique psychosocial and diabetes needs. Despite the development of effective in-person interventions targeting improving self-management and ameliorating psychosocial difficulties there are still a number of barriers to implementing these interventions, namely time, cost, and access. Telehealth interventions allow for the dissemination of these interventions to a broader audience. Self-management and psychosocial telehealth interventions are reviewed with a special emphasis on mobile phone and internet based technology use. While efficacy has been demonstrated in a number of telehealth interventions with improved cost effectiveness over in-person interventions, many challenges remain including high participant attrition and difficulties with receiving reimbursement for services rendered. These and other challenges are discussed with recommendations for researchers and telehealth providers provided.
1型糖尿病是一种护理负担沉重的慢性病。虽然存在有效的糖尿病护理干预措施和建议，但糖尿病管理的高强度性质使得依从性难以实现。在儿童和青少年中尤其如此，因为他们有独特的心理社会和糖尿病需求。尽管已经开发出针对改善自我管理和缓解心理社会困难的有效面对面干预措施，但实施这些干预措施仍然存在一些障碍，即时间、成本和可及性。远程医疗干预措施能够将这些干预措施传播给更广泛的受众。本文对自我管理和心理社会远程医疗干预措施进行了综述，特别强调了基于手机和互联网技术的应用。虽然在一些远程医疗干预措施中已经证明了其有效性，且与面对面干预相比具有更高的成本效益，但仍然存在许多挑战，包括高参与者流失率以及为所提供服务获得报销的困难。本文讨论了这些及其他挑战，并为研究人员和远程医疗提供者提供了建议。
