Vorderstrasse Allison, Lewinski Allison, Melkus Gail D'Eramo, Johnson Constance
Duke University, DUMC 3322 307 Trent Dr., Durham, NC, 27710, USA.
NYU College of Nursing, 433 First Avenue, New York, NY, 10010, USA.
Curr Diab Rep. 2016 Jul;16(7):56. doi: 10.1007/s11892-016-0756-0.
eHealth interventions have been increasingly used to provide social support for self-management of type 2 diabetes. In this review, we discuss social support interventions, types of support provided, sources or providers of support, outcomes of the support interventions (clinical, behavioral, psychosocial), and logistical and clinical considerations for support interventions using eHealth technologies. Many types of eHealth interventions demonstrated improvements in self-management behaviors, psychosocial outcomes, and clinical measures, particularly HbA1c. Important factors to consider in clinical application of eHealth support interventions include participant preferences, usability of eHealth technology, and availability of personnel to orient or assist participants. Overall, eHealth is a promising adjunct to clinical care as it addresses the need for ongoing support in chronic disease management.
电子健康干预措施越来越多地被用于为2型糖尿病的自我管理提供社会支持。在本综述中,我们讨论了社会支持干预措施、所提供支持的类型、支持的来源或提供者、支持干预措施的结果(临床、行为、心理社会方面),以及使用电子健康技术进行支持干预措施时的后勤和临床考虑因素。许多类型的电子健康干预措施在自我管理行为、心理社会结果和临床指标方面都有改善,尤其是糖化血红蛋白(HbA1c)。在电子健康支持干预措施的临床应用中需要考虑的重要因素包括参与者的偏好、电子健康技术的可用性,以及指导或协助参与者的人员的可获得性。总体而言,电子健康是临床护理的一种有前景的辅助手段,因为它满足了慢性病管理中持续支持的需求。