冯婷婷，赵玉恒，毛玉曦，顾林琪，袁敏敏，陆宏，张军，赵琦，李倩，潘晓红- 2023 DA - 2023/3/20 TI -基于微信的社区2型糖尿病(T2DM)患者电子健康家庭干预方案的有效性背景:基于家庭支持和风险认知的干预可以增强2型糖尿病(T2DM)患者的自我保健活动。此外，eHealth教育被认为可以提高家庭成员对T2DM患者的支持。然而，从严格设计的研究中很少有证据表明结合这些方法的干预措施的有效性。目的:本随机对照试验(RCT)旨在评估eHealth家庭健康教育干预对T2DM患者血糖控制、风险认知和自我保健行为改善的有效性。方法:该单中心、双平行组随机对照试验于2019 - 2020年进行。从上海市嘉定区招募患者228例，随机分为干预组和对照组。干预组接受基于微信社区管理的eHealth家庭干预，对照组接受常规护理。主要结局是2型糖尿病患者的糖化血红蛋白(HbA1c)水平，次要结局是自我管理行为(一般和特定饮食、运动、血糖检测、足部护理和吸烟)、风险认知(风险知识、个人控制、担忧、乐观偏见和个人风险)和家庭支持(支持和非支持行为)。采用双尾配对样本t检验比较对照组和干预组基线和随访时的参与者。 An analysis of covariance was used to measure the intervention effect. Results: In total, 225 patients with T2DM were followed up for 1 year. After intervention, they had significantly lower HbA1c values (β=–.69, 95% CI –0.99 to –0.39; P<.001). They also had improved general diet (β=.60, 95% CI 0.20 to 1.00; P=.003), special diet (β=.71, 95% CI 0.34 to 1.09; P<.001), blood sugar testing (β=.50, 95% CI 0.02 to 0.98; P=.04), foot care (β=1.82, 95% CI 1.23 to 2.42; P<.001), risk knowledge (β=.89, 95% CI 0.55 to 1.24; P<.001), personal control (β=.22, 95% CI 0.12 to 0.32; P<.001), worry (β=.24, 95% CI 0.10 to 0.39; P=.001), optimism bias (β=.26, 95% CI 0.09 to 0.43; P=.003), and supportive behaviors (β=5.52, 95% CI 4.03 to 7.01; P<.001). Conclusions: The eHealth family-based intervention improved glucose control and self-care activities among patients with T2DM by aiding the implementation of interventions to improve T2DM risk perceptions among family members. The intervention is generalizable for patients with T2DM using health management systems in community health centers. Trial Registration: Chinese Clinical Trial Registry ChiCTR1900020736; https://www.chictr.org.cn/showprojen.aspx?proj=31214 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2023/1/e40420 UR - https://doi.org/10.2196/40420 UR - http://www.ncbi.nlm.nih.gov/pubmed/36939825 DO - 10.2196/40420 ID - info:doi/10.2196/40420 ER -