Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
PLoS One. 2020 Aug 17;15(8):e0237647. doi: 10.1371/journal.pone.0237647. eCollection 2020.
INTRODUCTION: Diabetes self-management education is a key aspect in the long-term management of type 2 diabetes. The patient and healthcare professional (HCP) perspective on the use of technology-assisted DSME has yet to be studied. Hence, the objective of this study was to better understand the factors that facilitate or hinder the adoptions of such education by adults with type 2 diabetes and their HCPs. METHODS: We systematically searched five databases (Medline, Embase, CINAHL, Web of Science Core Collection, and PsycINFO) until August 2019. The search included qualitative and mixed-method studies that reported the views of patients and HCPs regarding features, uses, and implementations of technology-assisted DSME. Data were synthesized through an inductive thematic analysis. RESULTS: A total of 13 articles were included, involving 242 patients, ranging from 18 to 81 years and included web-based, mobile application, digital versatile disc (DVD), virtual reality or telehealth interventions. Patients and HCPs had mixed views towards features of the technology-assisted interventions, with patients' personal qualities and HCPs' concerns affecting uses of the interventions. Patients generally preferred technologies that were easy to access, use, and apply and that had reliable information. Patients' ambitions motivated them, and personal attributes such as poor competence with technology, poor literacy, and language barriers acted as barriers. Patients especially liked the peer support that they received but did not like it when there was no regulation of advice on these platforms. HCPs believed that while the interventions were useful to patients, they faced difficulties with integration into their clinical workflows. CONCLUSION: This review explored the features of technology-assisted diabetes self-management education interventions that enhanced positive patient engagements and the negative aspects of both the platforms and the target groups. Technical support and training will be effective in managing these concerns and ensuring meaningful use of these platforms.
简介：糖尿病自我管理教育是 2 型糖尿病长期管理的关键方面。患者和医疗保健专业人员（HCP）对技术辅助 DSME 的使用的看法尚未得到研究。因此，本研究的目的是更好地了解促进或阻碍成年 2 型糖尿病患者及其 HCP 采用这种教育的因素。
方法：我们系统地搜索了五个数据库（Medline、Embase、CINAHL、Web of Science Core Collection 和 PsycINFO），直到 2019 年 8 月。该搜索包括定性和混合方法研究，报告了患者和 HCP 对技术辅助 DSME 的功能、用途和实施的看法。数据通过归纳主题分析进行综合。
结果：共纳入 13 篇文章，涉及 242 名患者，年龄从 18 岁到 81 岁不等，包括基于网络、移动应用、数字多功能光盘（DVD）、虚拟现实或远程医疗干预。患者和 HCP 对技术辅助干预措施的功能有不同的看法，患者的个人素质和 HCP 的担忧影响了干预措施的使用。患者通常更喜欢易于访问、使用和应用的技术，并且具有可靠的信息。患者的抱负激发了他们的积极性，而技术能力差、读写能力差和语言障碍等个人属性则成为障碍。患者特别喜欢他们所获得的同伴支持，但不喜欢这些平台上没有对建议进行监管的情况。HCP 认为，虽然这些干预措施对患者有用，但他们在将其整合到临床工作流程中时遇到了困难。
结论：本综述探讨了增强患者积极参与的技术辅助糖尿病自我管理教育干预措施的功能，以及这些平台和目标群体的负面方面。技术支持和培训将有效地解决这些问题，并确保这些平台的有意义使用。
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