TY - JOUR AU - Holmen, Heidi AU - Torbjørnsen, Astrid AU - Wahl, Astrid Klopstad AU - Jenum, Anne Karen AU - sm stuen, Milada Cvancarova AU - Årsand, Eirik AU - Ribu, Lis PY - 2014 DA - 2014/12/11 TI -移动健康干预对2型糖尿病患者自我管理和生活方式改变的影响，第二部分:挪威随机对照试验更新健康的一年结果JO - JMIR mHealth SP - e57 VL - 2 IS - 4 KW -自我保健KW -移动应用KW -手机KW -远程医疗KW -咨询KW -动机访谈KW -糖尿病，2型KW -血红蛋白A1c蛋白，人AB -背景:自我管理在2型糖尿病的日常管理中至关重要。有人建议，移动医疗与健康咨询相结合，可能是加强自我管理的重要方法。目的:本研究的目的是测试使用基于手机的自我管理系统1年，前4个月有或没有糖尿病专科护士的电话健康咨询，与常规护理相比，是否可以改善糖化血红蛋白A1c (HbA1c)水平、自我管理和健康相关生活质量。方法:采用3组前瞻性随机对照试验，分为2个干预组和1个对照组。符合条件的参与者是2型糖尿病患者，HbA1c水平≥7.1%(≥54.1 mmol/mol)，年龄≥18岁。两个干预组都接受了基于手机的自我管理系统少触控应用(FTA)。FTA由自动无线数据传输的血糖测量系统、饮食手册、体育活动登记和个人目标管理组成，所有这些都是通过手机上的糖尿病日记应用程序记录和操作的。此外，在随机分组后的前4个月，一个干预组接受了基于行为改变理论的健康咨询，并由糖尿病专科护士提供。所有组均接受全科医生的日常护理。 The primary outcome was HbA1c level. Secondary outcomes were self-management (heiQ), health-related quality of life (SF-36), depressive symptoms (CES-D), and lifestyle changes (dietary habits and physical activity). Data were analyzed using univariate methods (t test, ANOVA) and multivariate linear and logistic regression. Results: A total of 151 participants were randomized: 51 to the FTA group, 50 to the FTA-health counseling (FTA-HC) group, and 50 to the control group. Follow-up data after 1 year were available for 120 participants (79%). HbA1c level decreased in all groups, but did not differ between groups after 1 year. The mean change in the heiQ domain skills and technique acquisition was significantly greater in the FTA-HC group after adjusting for age, gender, and education (P=.04). Other secondary outcomes did not differ between groups after 1 year. In the FTA group, 39% were substantial users of the app; 34% of the FTA-HC group were substantial users. Those aged ≥63 years used the app more than their younger counterparts did (OR 2.7; 95% CI 1.02-7.12; P=.045). Conclusions: The change in HbA1c level did not differ between groups after the 1-year intervention. Secondary outcomes did not differ between groups except for an increase in the self-management domain of skill and technique acquisition in the FTA-HC group. Older participants used the app more than the younger participants did. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2014/4/e57/ UR - https://doi.org/10.2196/mhealth.3882 UR - http://www.ncbi.nlm.nih.gov/pubmed/25499872 DO - 10.2196/mhealth.3882 ID - info:doi/10.2196/mhealth.3882 ER -