School of Nursing, Vanderbilt University, Nashville, TN, USA.
Division of Pediatric Endocrinology, Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor, MI, USA.
J Am Med Inform Assoc. 2018 Feb 1;25(2):135-141. doi: 10.1093/jamia/ocx051.
Sharing personal information about type 1 diabetes (T1D) can help adolescents obtain social support, enhance social learning, and improve self-care. Diabetes technologies, online communities, and health interventions increasingly feature data-sharing components. This study examines factors underlying adolescents' willingness to share personal T1D information with peers.
Participants were 134 adolescents (12-17 years of age; 56% female) who completed an online survey regarding experiences helping others with T1D, perceived social resources, beliefs about the value of sharing information and helping others, and willingness to share T1D information. Hemoglobin A1c values were obtained from medical records.
Adolescents were more willing to share how they accomplished T1D tasks than how often they completed them, and least willing to share glucose control status. In multivariate analyses, sharing/helping beliefs (β = 0.26, P < .01) and glucose control (HbA1c value; β = -0.26, P < .01) were related to greater willingness to share personal health information. Glucose control moderated relationships such that adolescents with worse A1c values had stronger relationships between sharing/helping beliefs and willingness to share (β = 0.18, P < .05) but weaker relationships between helping experience and willingness to share (β = -0.22, P = .07).
Many adolescents with T1D are willing to share personal health information, particularly if they have better diabetes health status and a stronger belief in the benefits of sharing.
Social learning and social media components may improve intervention participation, engagement, and outcomes by boosting adolescents' beliefs about the benefits of sharing information and helping others.
分享 1 型糖尿病(T1D)相关个人信息可以帮助青少年获得社会支持、增强社会学习能力并改善自我护理。糖尿病技术、在线社区和健康干预措施越来越多地包含数据共享组件。本研究旨在探讨青少年愿意与同龄人分享个人 T1D 信息的背后因素。
参与者为 134 名青少年(年龄 12-17 岁;女性占 56%),他们在线完成了一份关于帮助他人管理 T1D 的经验、感知社会资源、分享信息和帮助他人的价值信念以及分享 T1D 信息意愿的调查。血红蛋白 A1c 值从病历中获取。
青少年更愿意分享他们如何完成 T1D 任务,而不是完成任务的频率,最不愿意分享血糖控制情况。在多变量分析中,分享/帮助信念(β=0.26,P<.01)和血糖控制(HbA1c 值;β=-0.26,P<.01)与更高的个人健康信息分享意愿相关。血糖控制调节了这些关系,即 A1c 值较差的青少年在分享/帮助信念与分享意愿之间的关系更强(β=0.18,P<.05),而在帮助经验与分享意愿之间的关系更弱(β=-0.22,P=.07)。
许多 T1D 青少年愿意分享个人健康信息,特别是如果他们的糖尿病健康状况较好且更相信分享的好处。
社交学习和社交媒体组件可以通过增强青少年对分享信息和帮助他人的好处的信念,从而提高干预措施的参与度、投入度和效果。