Bernier Angelina, Fedele David, Guo Yi, Chavez Sarah, Smith Megan D, Warnick Jennifer, Lieberman Leora, Modave François
Division of Endocrinology, Department of Pediatrics, University of Florida, Gainesville, FL, United States.
Department of Clinical & Health Psychology, University of Florida, Gainesville, FL, United States.
JMIR Diabetes. 2018 Jun 6;3(2):e10. doi: 10.2196/diabetes.9202.
Diabetes self-management education is essential at the time of diagnosis. We developed the New-Onset Diabetes Educator (NODE), an animation-based educational web application for type 1 diabetes mellitus patients.
Our hypothesis is that NODE is a feasible, effective and user-friendly intervention in improving diabetes self-management education delivery to child/caregiver-dyads at the time of diagnosis.
We used a pragmatic parallel randomized trial design. Dyads were recruited within 48 hours of diagnosis and randomized into a NODE-enhanced diabetes self-management education or a standard diabetes self-management education group. Dyads randomized in the NODE group received the intervention on an iPad before receiving the standard diabetes self-management education with a nurse educator. The Diabetes Knowledge Test 2 assessed disease-specific knowledge pre- and postintervention in both groups, and was compared using t tests. Usability of the NODE mobile health intervention was assessed in the NODE group.
We recruited 16 dyads (mean child age 10.75, SD 3.44). Mean Diabetes Knowledge Test 2 scores were 14.25 (SD 4.17) and 18.13 (SD 2.17) pre- and postintervention in the NODE group, and 15.50 (SD 2.67) and 17.38 (SD 2.26) in the standard diabetes self-management education group. The effect size was medium (Δ=0.56). Usability ratings of NODE were excellent.
NODE is a feasible mobile health strategy for type 1 diabetes education. It has the potential to be an effective and scalable tool to enhance diabetes self-management education at time of diagnosis, and consequently, could lead to improved long-term clinical outcomes for patients living with the disease.
糖尿病自我管理教育在诊断时至关重要。我们开发了新发糖尿病教育者（NODE），这是一款基于动画的针对1型糖尿病患者的教育网络应用程序。
我们的假设是，NODE在改善诊断时向儿童/照顾者二元组提供糖尿病自我管理教育方面是一种可行、有效且用户友好的干预措施。
我们采用了实用的平行随机试验设计。在诊断后48小时内招募二元组，并随机分为NODE强化糖尿病自我管理教育组或标准糖尿病自我管理教育组。随机分配到NODE组的二元组在接受护士教育者的标准糖尿病自我管理教育之前，先在iPad上接受干预。两组均在干预前后通过糖尿病知识测试2评估疾病相关知识，并使用t检验进行比较。在NODE组中评估了NODE移动健康干预的可用性。
我们招募了16个二元组（儿童平均年龄10.75，标准差3.44）。NODE组干预前和干预后的糖尿病知识测试2平均得分分别为14.25（标准差4.17）和18.13（标准差2.17），标准糖尿病自我管理教育组分别为15.50（标准差2.67）和17.38（标准差2.26）。效应大小为中等（Δ=0.56）。NODE的可用性评级极佳。
NODE是一种可行的用于1型糖尿病教育的移动健康策略。它有可能成为一种有效且可扩展的工具，在诊断时加强糖尿病自我管理教育，从而改善该疾病患者的长期临床结局。
