TY - JOUR AU - Vajravelu, Mary Ellen AU - Hitt, Talia Alyssa AU - Mak, NaDea AU - Edwards, Aliya AU - Mitchell, Jonathan AU - Schwartz, Lisa AU - Kelly, Andrea AU - Amaral, Sandra PY - 2022 DA - 2022/4/6 TI -短信和经济激励增加糖尿病前期和2型糖尿病青少年的身体活动:基于web的小组访谈，告知干预设计JO - JMIR糖尿病SP - e33082 VL - 7 IS - 2kw -糖尿病2型KW -青少年KW -青年KW -短信KW -体育活动KW -动机KW -手机AB -背景:体育活动是青少年肥胖和糖尿病前期或2型糖尿病治疗的主要组成部分;然而，久坐的行为仍然普遍存在。以短信为基础的干预加上经济激励可能是促进这一人群体育活动的有效方法。目的:本研究旨在获得最终用户对短信内容的反馈，并评估计划中的短信干预措施的可接受性，该措施以经济激励激励患有前驱糖尿病或2型糖尿病的年轻人增加体育活动。方法:招募参加大型学术儿科内分泌科诊所的超重或肥胖、前驱糖尿病或2型糖尿病的青少年，通过视频会议参与小组访谈(2-4/组)。参与者被要求分享他们对使用短信和经济激励来提醒和激励他们更多地锻炼身体的想法。他们对临床试验中使用的特定信息进行评级并提供反馈。参与者还被问及他们使用奖励来激励行为改变的个人经验，以及他们对为实现目标而提供的奖励(收益框架)与如果没有实现目标而提供的奖励(损失框架)的预期反应。访谈由2名训练有素的面试官和一名记录员进行。 Content analysis was used to explore themes. Results: Group interviews were completed with 20 participants (11/20, 55% women; 15/20, 75% with type 2 diabetes; 5/20, 25% with prediabetes) with a mean age of 15 (SD 1; range 12-18) years and a mean BMI of 41 (SD 5) kg/m2 (all >95th percentile for age and sex). Most participants were non-Hispanic Black (14/20, 70%) and 10% (2/20) were Hispanics. Participants frequently cited near-continuous smartphone use and agreed that SMS text messages would serve as good reminders to be physically active, but the consensus about the need for short messages was strong. Favorable content included references to what they were likely to be doing when messages were sent (eg, homework or watching television) and messages that were upbeat or informative. Specific physical activity suggestions were rated favorably. Attitudes toward financial incentives varied, with differing opinions about whether loss-framed incentives would be motivating or discouraging. Many participants highlighted the role of intrinsic, rather than extrinsic, motivation in achieving and sustaining behavior change. Conclusions: The engagement of adolescents with obesity and diabetes or prediabetes allowed for the refinement of SMS text messages for our planned intervention, with an emphasis on short, upbeat, relatable, and informative messages. Although an SMS text messaging intervention using financial incentives to motivate youth with prediabetes or type 2 diabetes to be more physically active is theoretically acceptable, the impact on actual activity levels in this population requires prospective evaluation in a clinical trial. SN - 2371-4379 UR - https://diabetes.www.mybigtv.com/2022/2/e33082 UR - https://doi.org/10.2196/33082 UR - http://www.ncbi.nlm.nih.gov/pubmed/35384850 DO - 10.2196/33082 ID - info:doi/10.2196/33082 ER -