一款带有认证糖尿病教育者应用内辅导的糖尿病移动应用程序可降低 2 型糖尿病患者的 A1C 水平。
A Diabetes Mobile App With In-App Coaching From a Certified Diabetes Educator Reduces A1C for Individuals With Type 2 Diabetes.
机构信息
Evidation Health, San Mateo, California, USA.
出版信息
Diabetes Educ. 2018 Jun;44(3):226-236. doi: 10.1177/0145721718765650. Epub 2018 Mar 24.
Purpose There are currently many diabetes apps available, but there is limited evidence demonstrating clinical impact. The purpose of this study is to evaluate the impact of a diabetes mobile app with in-app coaching by a certified diabetes educator on glycemic control for individuals with type 2 diabetes. Methods A 12 week-long single-arm intent-to-treat trial evaluated the impact of a diabetes mobile app and coaching program (One Drop | Mobile With One Drop | Experts), which facilitated tracking of self-care and included an in-app diabetes education program, on A1C for individuals with type 2 diabetes and an A1C ≥7.5% (58 mmol/mol). An online study platform (Achievement Studies, Evidation Health Inc, San Mateo, CA) was used to screen, consent, and enroll participants; collect study data; and track participants' progress throughout the study. Baseline and study end A1C measurements as well as questionnaire data from participants were collected. Results Participants (n = 146) were 52 ± 9 years old, 71% female, 25% black or Hispanic, diagnosed with diabetes for 11 ± 7 years, and with a mean baseline A1C of 9.87% ± 2.0 (84 mmol/mol). In adjusted repeated measures models, mean A1C improved by -0.86% among study completers (n = 127), -0.96% among active users of the app and coaching program (n = 93), and -1.32% among active users with a baseline A1C ≥9.0% (75 mmol/mol) (n = 53). Conclusions This program was associated with a clinically meaningful and significant reduction in A1C and can potentially increase access to effective diabetes self-management education and support for individuals with diabetes.
目的 目前有许多糖尿病应用程序可供使用,但仅有有限的证据表明其具有临床影响。本研究的目的是评估一款具有认证糖尿病教育者应用内辅导的糖尿病移动应用程序对 2 型糖尿病患者血糖控制的影响。
方法 一项为期 12 周的单臂意向治疗试验评估了一款糖尿病移动应用程序和辅导计划(One Drop | Mobile With One Drop | Experts)的影响,该计划促进了自我护理的跟踪,并包括一个应用内糖尿病教育计划,适用于 A1C 为 2 型糖尿病且 A1C≥7.5%(58 mmol/mol)的患者。一个在线研究平台(Achievement Studies,Evidation Health Inc,San Mateo,CA)用于筛选、同意和招募参与者;收集研究数据;并跟踪参与者在整个研究过程中的进展。收集参与者的基线和研究结束时的 A1C 测量值以及问卷数据。
结果 参与者(n=146)年龄为 52±9 岁,71%为女性,25%为黑人和/或西班牙裔,诊断出糖尿病的时间为 11±7 年,平均基线 A1C 为 9.87%±2.0(84 mmol/mol)。在调整后的重复测量模型中,研究完成者(n=127)的平均 A1C 降低了 0.86%,应用程序和辅导计划的积极使用者(n=93)降低了 0.96%,基线 A1C≥9.0%(75 mmol/mol)的积极使用者(n=53)降低了 1.32%。
结论 该计划与 A1C 显著且有临床意义的降低相关,有可能增加有效糖尿病自我管理教育和支持的获取,以帮助糖尿病患者。