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在对照试验环境下,2型糖尿病群体培训课程整合与未整合移动健康支持的疗效比较:一项比较性试点研究的结果

Comparison of the Efficacy of Type 2 Diabetes Group Training Courses With and Without the Integration of mHealth Support in a Controlled Trial Setting: Results of a Comparative Pilot Study.

作者信息

Roth Melanie, Bodenhofer Johanna, Fischill-Neudeck Magdalena, Roth Caroline, Domhardt Michael, Emsenhuber Gerlinde, Grabner Babette, Oostingh Gertie J, Schuster Anja

机构信息

Health Sciences Department, Salzburg University of Applied Sciences, Salzburg, Austria.

Creative Technologies Department, Salzburg University of Applied Sciences, Salzburg, Austria.

出版信息

Diabetes Spectr. 2024 Sep 16;38(1):58-67. doi: 10.2337/ds24-0012. eCollection 2025 Winter.

DOI:10.2337/ds24-0012
PMID:39959529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11825395/
Abstract

OBJECTIVE

This study assessed the effects on type 2 diabetes self-management education provided in group courses with or without a supporting smartphone application (the DM2CUA app).

RESEARCH DESIGN AND METHODS

This open-label, cluster-randomized, controlled, multicenter pilot study involved three Austrian diabetes educational group courses. People with type 2 diabetes in the control group received a regular educational group course, whereas those in the intervention group received the same course plus the use of the DM2CUA app. The app prompted participants to carry out educational tasks that were discussed in the course. After the last lesson, the app provided participants with relevant messages for another 4 weeks. The primary outcome measure was the Diabetes Self-Management Questionnaire score assessed at four time points. Secondary outcome measures included scores on the Diabetes Distress Scale and the Health Education Impact Questionnaire and A1C levels.

RESULTS

Participants in the intervention group already had a higher level of diabetes self-management at the start, but the median score showed further improvement during the entire study period.

CONCLUSION

Findings from this pilot study suggest that the DM2CUA app may have a positive impact on diabetes self-management.

摘要

目的

本研究评估了在有或没有支持性智能手机应用程序(DM2CUA应用程序)的小组课程中提供的2型糖尿病自我管理教育的效果。

研究设计与方法

这项开放标签、整群随机、对照、多中心试点研究涉及奥地利的三个糖尿病教育小组课程。对照组的2型糖尿病患者接受常规教育小组课程,而干预组的患者接受相同课程并使用DM2CUA应用程序。该应用程序促使参与者完成课程中讨论的教育任务。在最后一节课之后,该应用程序在另外4周内向参与者提供相关信息。主要结局指标是在四个时间点评估的糖尿病自我管理问卷得分。次要结局指标包括糖尿病痛苦量表、健康教育影响问卷得分以及糖化血红蛋白水平。

结果

干预组的参与者在开始时已经具有较高的糖尿病自我管理水平,但中位数得分在整个研究期间进一步提高。

结论

这项试点研究的结果表明,DM2CUA应用程序可能对糖尿病自我管理产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/47e87ba69dfb/diaspectds240012f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/405bf458c4a4/diaspectds240012f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/12564cd5eaab/diaspectds240012f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/47e87ba69dfb/diaspectds240012f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/405bf458c4a4/diaspectds240012f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/f8c75f7fac24/diaspectds240012f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/fad0a567d03d/diaspectds240012f3.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/12564cd5eaab/diaspectds240012f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11825395/47e87ba69dfb/diaspectds240012f6.jpg

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