Chang Hsiao-Yun, Huang Yu-Yao
Department of Nursing, Chang Gung University of Science and Technology and Research Fellow (joint appointment), Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital & College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Int J Nurs Stud Adv. 2025 May 15;8:100353. doi: 10.1016/j.ijnsa.2025.100353. eCollection 2025 Jun.
Diabetes management often includes complementary therapies alongside conventional treatment, yet patients may lack the knowledge to integrate both safely. Empowering the use of complementary therapies in diabetes management may enhance patients' understanding of their benefits and risks, support informed decision-making, and improve overall care of diabetes.
To develop and pilot test the Empowerment-based Complementary Therapies for Diabetes Management educational application (app).
A two-round modified Delphi method, conducted from October 2023 to April 2024, involved 23 external experts and six patients with diabetes. The app was designed using the WHO's empowerment framework, emphasizing self-control, cognitive, psychological, and behavioral strategies. Expert consensus was achieved via the content validity index and pilot testing focused on functionality and usability in patients with diabetes.
This app demonstrated acceptable face validity, with a score of 0.88, and content validity, with item-level and scale-level content validity indices exceeding 80 percent. The pilot testing confirmed that the app's navigation, secure authentication processes, and reliable data storage systems are not only user-friendly but also feasible. Notably, participants showed a significant 9.02 % increase in their understanding of the benefits and risks of using complementary therapies in diabetes, underscoring the app's educational effectiveness.
The app is a capable educational tool for empowering patients with diabetes by providing information on complementary therapies and enhancing their ability to integrate these therapies safely with conventional medicine.
The Educational App for Complementary Therapies in Diabetes empowers patients to integrate complementary therapies safely with conventional medicine.
糖尿病管理通常在传统治疗的基础上还包括辅助疗法，但患者可能缺乏安全整合这两种疗法的知识。在糖尿病管理中增强辅助疗法的使用可能会提高患者对其益处和风险的理解，支持明智的决策制定，并改善糖尿病的整体护理。
开发并试点测试基于赋权的糖尿病管理辅助疗法教育应用程序（应用）。
于2023年10月至2024年4月采用两轮改良德尔菲法，涉及23名外部专家和6名糖尿病患者。该应用使用世界卫生组织的赋权框架进行设计，强调自我控制、认知、心理和行为策略。通过内容效度指数达成专家共识，试点测试聚焦于糖尿病患者的功能和可用性。
该应用展示出可接受的表面效度，得分为0.88，以及内容效度，项目级和量表级内容效度指数均超过80%。试点测试证实该应用的导航、安全认证流程和可靠的数据存储系统不仅用户友好而且可行。值得注意的是，参与者对在糖尿病中使用辅助疗法的益处和风险的理解显著提高了9.02%，突出了该应用的教育效果。
该应用是一种有效的教育工具，通过提供有关辅助疗法的信息并增强患者将这些疗法与传统医学安全整合的能力，赋予糖尿病患者权力。
糖尿病辅助疗法教育应用程序使患者能够将辅助疗法与传统医学安全整合。
