Author Affiliations : School of Nursing, The University of Texas at Austin, Texas.
Comput Inform Nurs. 2020 Aug 10;39(3):162-169. doi: 10.1097/CIN.0000000000000663.
Research shows the risk for cognitive impairment and the rate of cognitive decline double after type 2 diabetes mellitus is diagnosed and can make self-management more difficult. Cognitive training has been found to be one way to improve self-management and cognitive function, and this article reports the adaptation of one such intervention to an online format. Ten adults with diabetes participated in an 8-week intervention that combined webinar classes with online computer game training. Perceived memory ability, executive function, self-management, and self-efficacy were measured. Evaluation of recruitment, data collection, and implementation demonstrated good feasibility and reduced barriers to engagement. Although the intervention did not result in significant changes in cognitive function, scores on all surveys improved. Adherence to diet, exercise, and foot care recommendations also improved. Most participants stated they preferred the intervention's online format to "traditional" in-person formats. Online technology in this 8-week intervention helped improve recruitment, retention, participant engagement, and use of cognitive strategies in people with type 2 diabetes mellitus. Overall, participants found the intervention helpful and said it reduced the time and travel burden associated with educational interventions. A larger randomized controlled trial is needed to further explore the intervention's potential impact over a longer period.
研究表明，2 型糖尿病确诊后，认知障碍的风险和认知能力下降的速度会增加一倍，这会使自我管理变得更加困难。认知训练被发现是改善自我管理和认知功能的一种方法，本文报告了将这种干预措施改编为在线形式的情况。10 名成年糖尿病患者参加了一项为期 8 周的干预措施，该措施将网络研讨会课程与在线电脑游戏训练相结合。测量了参与者的记忆能力、执行功能、自我管理和自我效能感。对招募、数据收集和实施的评估表明，该方法具有很好的可行性，降低了参与的障碍。尽管干预措施并未导致认知功能的显著变化，但所有调查的得分都有所提高。对饮食、运动和足部护理建议的依从性也有所改善。大多数参与者表示，他们更喜欢这种干预措施的在线形式，而不是“传统”的面对面形式。在 8 周的干预中，在线技术有助于提高 2 型糖尿病患者的招募率、保留率、参与度以及认知策略的使用。总的来说，参与者认为该干预措施很有帮助，并表示它减少了与教育干预相关的时间和旅行负担。需要更大规模的随机对照试验来进一步探索该干预措施在更长时间内的潜在影响。
