@文章{信息:doi/10.2196/23261，作者=“永田，友久和Aoyagi，索纳- sanae和高桥，minkazu和永田，Masako和Mori, Koji”，标题=“自我监测设备对糖尿病工人生活方式改变的反馈影响:3个月的随机对照试验”，期刊=“JMIR Form Res”，年=“2022”，月=“8”，日=“9”，卷=“6”，数=“8”，页=“e23261”，关键词=“移动健康;数字健康;糖尿病;工人;自我监控;体重指数;日常活动;随机对照试验;智能手机;背景:虽然生活方式干预在预防和管理糖尿病方面很有用，但它们可能昂贵且耗时。 There is some evidence on the effectiveness of automated mobile technology for health self-monitoring; however, few studies have used such devices in the occupational health field. Objective: We aimed to examine the effectiveness of a digital self-monitoring device on glucose levels and activity of workers with diabetes in Japan. The primary outcomes were changes in blood glucose levels, and the secondary outcomes were changes in weight and BMI. Methods: A 2-arm randomized controlled pilot trial was conducted with workers from 23 organizations. The intervention group (n=50) wore an armband activity monitor, a body composition monitor, and a blood pressure monitor for 3 months and received semiautomated weekly email messages tailored to their device data. The control group (n=53) engaged in no self-monitoring. Messages were developed by a physician and a dietician. Postintervention changes in blood glucose levels, weight, and BMI were compared between the intervention and control groups, using blood tests and questionnaires. Results: At the end of 3 months, the intervention group showed significantly lower blood glucose levels (HbA1c: intervention group mean 6.4{\%} (SD 0.3{\%}) vs control group mean 6.6{\%} (SD 0.3{\%}); Cohen d=0.7, 95{\%} CI 0.2-1.1; P=.009). There were no significant between-group differences in weight and BMI. Conclusions: Mobile digital self-monitoring was effective in improving blood glucose levels in workers with diabetes. The use of digital health devices is a cost-effective way of implementing health self-monitoring for large numbers of individuals in the workplace. However, due to the large volume of missing values in this study, we need to be careful in interpreting the results, and well-designed intervention studies need to be conducted. Trial Registration: University Hospital Medical Information Network UMIN000023651;https://upload.umin.ac.jp/cgi-open-bin/icdr/ctr{\_}view{\_}cb.cgi?recptno=R000027244{\&}flwp{\_}key=1008PYbOcXKmk7CAg4Th1FWS ", issn="2561-326X", doi="10.2196/23261", url="https://formative.www.mybigtv.com/2022/8/e23261", url="https://doi.org/10.2196/23261", url="http://www.ncbi.nlm.nih.gov/pubmed/35943766" }