Ofili Elizabeth O, Pemu Priscilla E, Quarshie Alexander, Mensah Ernest Alema, Rollins Latrice, Ojutalayo Folake, McCaslin Atuarra, Clair Bethany Saint
ATLANTA, GEORGIA.
Trans Am Clin Climatol Assoc. 2018;129:215-234.
Health 360x is a mobile health application and social platform that integrates self-monitoring and decision support for preventive health. We studied 240 diabetic patients in primary care practices and a church community in metropolitan Atlanta. Health coaches were trained on the Health 360x curriculum, which was adapted from the American Association of Diabetes Educators. Participants worked with the health coaches to set goals for diabetes self-management. The intervention included weekly coaching for 12 weeks and online peer networking. Outcome variables included blood pressure, physical activity, and blood glucose that showed significant improvement at 12 weeks and 12 months compared to baseline. Focus group testing revealed that references for empowerment and engagement were associated with positive clinical outcomes. Barriers to adoption and use of the technology were inability to use the internet and concern about privacy and security of health data. Future efforts will integrate a multidisciplinary training dashboard with considerable attention to education on security features including data encryption and sign-on verification.
Health 360x是一款移动健康应用程序和社交平台，集成了预防性健康的自我监测和决策支持功能。我们对大亚特兰大地区初级医疗实践机构和一个教会社区的240名糖尿病患者进行了研究。健康教练接受了Health 360x课程培训，该课程改编自美国糖尿病教育者协会的课程。参与者与健康教练合作设定糖尿病自我管理目标。干预措施包括为期12周的每周一次辅导以及在线同伴网络。结果变量包括血压、身体活动和血糖，与基线相比，在12周和12个月时均有显著改善。焦点小组测试表明，赋权和参与相关因素与积极的临床结果相关。采用和使用该技术的障碍包括无法使用互联网以及对健康数据隐私和安全的担忧。未来的工作将整合一个多学科培训仪表盘，并高度重视包括数据加密和登录验证在内的安全功能教育。
