初级保健专业人员对 DiabeText 的看法和观点，这是一种新的移动医疗干预措施，旨在支持西班牙患者遵守抗糖尿病药物治疗：一项定性研究。
Perspectives and Views of Primary Care Professionals Regarding DiabeText, a New mHealth Intervention to Support Adherence to Antidiabetic Medication in Spain: A Qualitative Study.
机构信息
Research Group in Primary Care and Promotion-Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain.
Primary Care Research Unit of Mallorca (IB-Salut), Balearic Health Service, 07002 Palma de Mallorca, Spain.
出版信息
Int J Environ Res Public Health. 2022 Apr 1;19(7):4237. doi: 10.3390/ijerph19074237.
BACKGROUND
Antidiabetic medication is effective in preventing diabetes-related complications. However, 40% of type 2 diabetic patients do not adhere to their medication regimes adequately. Brief text messages represent a promising approach to support medication adherence. The aim of this study was to explore the perspectives of primary care professionals (PCPs) concerning the DiabeText intervention, a new text messaging intervention to be developed to support medication adherence in people with type 2 diabetes (T2D) in Mallorca, Spain.
METHODS
We conducted four focus groups ( = 28) and eight semi-structured interviews with doctors and nurses. Data collection and analysis were carried out by researchers independently following Braun and Clark's methodology.
RESULTS
Three main themes were identified: (1) text messaging interventions have the potential to effectively support diabetes self-management; (2) involving PCPs in the intervention would facilitate its design and implementation; (3) obtaining evidence supporting the cost-effectiveness is a key prerequisite for large-scale implementation of the intervention. PCPs identified barriers and enablers of the design and implementation of the intervention and made suggestions about the content and format of the text messages.
CONCLUSION
The DiabeText intervention is perceived as useful and acceptable by PCPs provided its cost-effectiveness.
背景
抗糖尿病药物在预防糖尿病相关并发症方面是有效的。然而，40%的 2 型糖尿病患者不能充分遵守其药物治疗方案。简短的短信代表了一种有前途的方法，可以支持药物依从性。本研究旨在探讨初级保健专业人员（PCPs）对 DiabeText 干预措施的看法，DiabeText 是一种新的短信干预措施，旨在支持西班牙马略卡岛 2 型糖尿病（T2D）患者的药物依从性。
方法
我们进行了四个焦点小组（= 28）和八次与医生和护士的半结构化访谈。研究人员独立按照 Braun 和 Clark 的方法进行数据收集和分析。
结果
确定了三个主要主题：（1）短信干预措施有可能有效地支持糖尿病自我管理；（2）让 PCPs 参与干预将有助于其设计和实施；（3）获得支持成本效益的证据是大规模实施干预的关键前提。PCPs 确定了干预措施的设计和实施的障碍和促成因素，并对短信的内容和格式提出了建议。
结论
只要 DiabeText 干预措施具有成本效益，PCPs 就认为它是有用且可接受的。
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