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一种直观的风险沟通工具，用于增强糖尿病咨询中的医患伙伴关系。

An Intuitive Risk Communication Tool to Enhance Patient-Provider Partnership in Diabetes Consultation.

机构信息

Nuffield Department of Population Health, Health Economics Research Centre, University of Oxford, Oxford, UK.

Research Center for Health Policy and Economics, Hitotsubashi University, Tokyo, Japan.

出版信息

J Diabetes Sci Technol. 2022 Jul;16(4):988-994. doi: 10.1177/1932296821995800. Epub 2021 Mar 3.

DOI:10.1177/1932296821995800
PMID:33655766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9264433/
Abstract

INTRODUCTION

This technology report introduces an innovative risk communication tool developed to support providers in communicating diabetes-related risks more intuitively to people with type 2 diabetes mellitus (T2DM).

METHODS

The development process involved three main steps: (1) selecting the content and format of the risk message; (2) developing a digital interface; and (3) assessing the usability and usefulness of the tool with clinicians through validated questionnaires.

RESULTS

The tool calculates personalized risk information based on a validated simulation model (United Kingdom Prospective Diabetes Study Outcomes Model 2) and delivers it using more intuitive risk formats, such as "effective heart age" to convey cardiovascular risks. Clinicians reported high scores for the usability and usefulness of the tool, making its adoption in routine care promising.

CONCLUSIONS

Despite increased use of risk calculators in clinical care, this is the first time that such a tool has been developed in the diabetes area. Further studies are needed to confirm the benefits of using this tool on behavioral and health outcomes in T2DM populations.

摘要

简介

本技术报告介绍了一种创新的风险沟通工具，旨在帮助医疗服务提供者更直观地向 2 型糖尿病患者传达与糖尿病相关的风险。

方法

该工具的开发过程包括三个主要步骤：（1）选择风险信息的内容和格式；（2）开发数字界面；（3）通过验证后的问卷评估该工具在临床医生中的可用性和实用性。

结果

该工具基于经过验证的模拟模型（英国前瞻性糖尿病研究结果模型 2）计算个性化风险信息，并采用更直观的风险格式（如“有效心脏年龄”）来传达心血管风险。临床医生对该工具的可用性和实用性评价很高，这表明该工具有望在常规护理中得到应用。

结论

尽管风险计算器在临床护理中的使用有所增加，但这是首次在糖尿病领域开发此类工具。需要进一步的研究来确认在 2 型糖尿病人群中使用该工具对行为和健康结果的益处。

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