Shattuck & Associates (Dr DeBarthe Sadler, Dr Saperstein, Dr Carpenter).
Hager Sharp (Ms Devchand, Ms Nicols).
Diabetes Educ. 2017 Oct;43(5):476-485. doi: 10.1177/0145721717721183. Epub 2017 Aug 2.
Purpose The purpose of this study was to assess the impact of Diabetes HealthSense on knowledge, attitudes, and behavior changes that prevent, delay, or manage diabetes among people at risk (PAR) for diabetes and people with diabetes (PWD). Methods Using a 2-group pretest-posttest design, 15 community sites were randomly assigned to either an intervention or comparison group. Intervention participants attended a group education session with a diabetes educator, followed by 4 weeks of independent use of the Diabetes HealthSense website. The comparison group received no intervention. A total of 311 adults (n = 135 intervention, n = 176 comparison) completed both a pretest and posttest. Outcome measures examined changes in self-reported knowledge, self-efficacy, and behaviors that support diabetes prevention or management. Results Statistically significant within-group pretest to posttest changes were found for almost all outcome measures in the intervention group, with no significant changes in the comparison group. Significant between-group differences were also found for almost all outcome measures at posttest, with the intervention group having more positive outcomes than the comparison group. Conclusions Patient referral to online tools is considered one key component of initial and ongoing diabetes self-management education and support (DSME/S) and is recommended as a way to enhance and extend the reach of in-person diabetes education. Positive outcomes were found for PWD/PAR who used Diabetes HealthSense following a guided education session. Study results suggested that with guided exploration, Diabetes HealthSense provided a valuable tool for educators to use with patients to support and extend the reach of DSME/S.
目的 本研究旨在评估 Diabetes HealthSense 对预防、延缓或管理糖尿病高危人群（PAR）和糖尿病患者（PWD）糖尿病知识、态度和行为改变的影响。
方法 使用 2 组前后测试设计，将 15 个社区网站随机分配到干预组或对照组。干预组参与者参加了由糖尿病教育者组织的小组教育课程，然后在 4 周内独立使用 Diabetes HealthSense 网站。对照组未接受任何干预。共有 311 名成年人（n = 135 干预组，n = 176 对照组）完成了前测和后测。结果测量了自我报告的知识、自我效能感和支持糖尿病预防或管理的行为的变化。
结果 干预组几乎所有的结果测量都显示出了显著的组内前后测变化，而对照组则没有显著变化。后测时，干预组和对照组之间也存在几乎所有结果测量的显著差异，干预组的结果比对照组更为积极。
结论 将患者转介到在线工具被认为是初始和持续的糖尿病自我管理教育和支持（DSME/S）的一个关键组成部分，并被推荐作为增强和扩大面对面糖尿病教育覆盖面的一种方式。在接受了指导教育课程后，PWD/PAR 使用了 Diabetes HealthSense，取得了积极的结果。研究结果表明，通过指导探索，Diabetes HealthSense 为教育工作者提供了一个有价值的工具，用于支持和扩大 DSME/S 的覆盖面。
