Research Group Process Innovations in Pharmaceutical Care, Utrecht University of Applied Sciences, PO Box 12011, 3501 AA Utrecht, Netherlands.
Diabetes Centre, Isala, Zwolle, Netherlands.
J Diabetes Res. 2020 Jan 8;2020:5013142. doi: 10.1155/2020/5013142. eCollection 2020.
Online care platforms can support patients with type 2 diabetes (T2DM) in managing their health. However, in the use of eHealth, a low participation rate is common. The Proactive Interdisciplinary Self-Management (PRISMA) program, aimed at improving patients' self-management skills, was expected to encourage patients to manage their disease through the use of an online platform. Therefore, the objective of the current study was to investigate whether a group education program can improve the use of an online care platform in patients with T2DM treated by primary care providers in the Netherlands. In a randomized controlled trial, patients with T2DM received either PRISMA with usual care or usual care only. During a six-month follow-up period in 2014-2015, usage (number of log-ons and time spent per session) of an online care platform (e-Vita) aimed at improving T2DM self-management was assessed. A training about the functionalities of e-Vita was offered. The sample consisted of 203 patients. No differences were found between the intervention and control groups in the number of patients who attended the platform training (interested patients) ( (1) = 0.58; = 0.45), and the number of patients who logged on at least once (platform users) ( (1) = 0.46; = 0.50). In addition, no differences were found between the groups in the type of users-patients who logged on twice or more (active users) or patients who logged on once (nonactive users) ( (1) = 0.56; = 0.45). The PRISMA program did not change platform usage in patients with T2DM. In addition, only a small proportion of the patients logged on twice or more. Patients probably need other encouragements to manage their condition using an online platform.
在线护理平台可以帮助 2 型糖尿病（T2DM）患者管理其健康状况。然而，在使用电子健康（eHealth）时，普遍存在参与率低的问题。Proactive Interdisciplinary Self-Management（PRISMA）计划旨在提高患者的自我管理技能，预计将通过使用在线平台鼓励患者管理其疾病。因此，本研究的目的是调查初级保健提供者治疗的 T2DM 患者是否可以通过群体教育计划提高对在线护理平台的使用。在 2014-2015 年期间进行的一项随机对照试验中，T2DM 患者接受了 PRISMA 联合常规护理或仅常规护理。在六个月的随访期间，评估了旨在改善 T2DM 自我管理的在线护理平台（e-Vita）的使用情况（登录次数和每次会话花费的时间）。提供了有关 e-Vita 功能的培训。该样本包括 203 名患者。在参加平台培训（感兴趣的患者）的患者数量（ (1) = 0.58； = 0.45）和至少登录一次的患者数量（平台用户）（ (1) = 0.46； = 0.50）方面，干预组和对照组之间没有发现差异。此外，在登录两次或更多次的患者（活跃用户）或仅登录一次的患者（非活跃用户）类型方面，两组之间也没有差异（ (1) = 0.56； = 0.45）。PRISMA 计划并未改变 T2DM 患者对平台的使用。此外，只有一小部分患者登录了两次或更多次。患者可能需要其他激励措施来使用在线平台管理其病情。
