Lee Jun Yang, Chan Carina Ka Yee, Chua Siew Siang, Ng Chirk Jenn, Paraidathathu Thomas, Lee Kenneth Kwing-Chin, Lee Shaun Wen Huey
School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, 47500, Subang Jaya, Selangor, Malaysia.
School of Psychology, Australian Catholic University, 1100 Nudgee Road, Banyo, QLD, 4104, Australia.
BMC Health Serv Res. 2016 Sep 29;16(1):524. doi: 10.1186/s12913-016-1782-y.
The high market penetration of mobile phones has triggered an opportunity to combine mobile technology with health care to overcome challenges in today's health care setting. Although Malaysia has a high Internet and mobile penetration rate, evaluations of the efficacy of incorporating this technology in diabetes care is not common. We report the development of a telemonitoring coaching system, using the United Kingdom (UK) Medical Research Council (MRC) framework, for patients with type 2 diabetes mellitus.
The Intervention for Diabetes with Education, Technological Advancement and Support (IDEAS) study is a telemonitoring programme based on an empowerment philosophy to enable participants to be responsible for their own health decision and behaviour. An iterative cycle of development, piloting, and collating qualitative and quantitative data will be used to inform and refine the intervention. To increase compliance, the intervention will be designed to encourage self-management using simple, non-technical knowledge. The primary outcomes will be HbA1c, blood pressure, total cholesterol, and quality of life and diabetes self-efficacy. In addition, an economic analysis on health service utilisation will be collected.
The mixed-method approach in this study will allow for a holistic overview of using telemonitoring in diabetes care. This design enables researchers to understand the effectiveness of telemonitoring as well as provide insights towards the receptiveness of incorporating information technology amongst type 2 diabetes patients in a community setting.
ClinicalTrials.gov NCT02466880 Registered 2 June 2015.
手机的高市场渗透率带来了将移动技术与医疗保健相结合的机会，以应对当今医疗环境中的挑战。尽管马来西亚的互联网和移动设备普及率很高，但对将该技术应用于糖尿病护理的疗效评估并不常见。我们报告了一种基于英国医学研究理事会（MRC）框架为2型糖尿病患者开发的远程监测指导系统。
糖尿病教育、技术进步与支持干预（IDEAS）研究是一项基于赋权理念的远程监测项目，旨在使参与者对自己的健康决策和行为负责。将使用一个开发、试点以及整理定性和定量数据的迭代循环来为干预提供信息并进行完善。为了提高依从性，干预措施将设计为利用简单的非技术知识鼓励自我管理。主要结局指标将是糖化血红蛋白、血压、总胆固醇、生活质量和糖尿病自我效能感。此外，还将收集关于卫生服务利用的经济分析数据。
本研究中的混合方法将全面概述远程监测在糖尿病护理中的应用。这种设计使研究人员能够了解远程监测的有效性，并深入了解在社区环境中2型糖尿病患者对采用信息技术的接受情况。
ClinicalTrials.gov NCT02466880，于2015年6月2日注册。
