Lee Dae Eun, Lee Haejung, Cheon Chong Kun, Yoon Ju Young
Doctoral Candidate, College of Nursing, Pusan National University, Yangsan, Korea.
Professor, College of Nursing · Research Institute of Nursing Science, Pusan National University, Yangsan, Korea.
Child Health Nurs Res. 2024 Jan;30(1):17-30. doi: 10.4094/chnr.2023.048. Epub 2024 Jan 31.
This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes.
A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed.
The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified.
The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.
本试点研究旨在评估基于自我调节理论开发的移动应用程序医疗保健指导计划在1型糖尿病青少年中的可行性、初步疗效和效果。
采用混合方法设计。参与者被随机分为干预组（n = 23，为期12周的指导计划）或对照组（n = 16，常规护理）。干预前后的评估包括自我效能感、糖尿病管理行为和健康结果（生活质量、抑郁和糖化血红蛋白）。定量数据使用SPSS/WIN 26.0版进行分析。对医疗保健指导计划参与者的叙述性信息进行内容分析。
干预组的抑郁得分显著低于对照组（t = 2.57，p = .014）。两组在自我效能感、糖尿病管理行为和健康结果方面未观察到显著差异。参与者每周健康行为监测的平均频率为1.86±1.60。定性研究结果表明，参与者认为干预改善了糖尿病自我管理；然而，也发现了假期期间的挑战、饮食控制困难和疾病意识不足等问题。
医疗保健指导计划改善了1型糖尿病青少年的心理状况。需要进一步开展研究，以开发和实施旨在提高儿科和青少年人群糖尿病管理依从性的移动应用程序干预措施。
