TY - JOUR AU - Castensøe-Seidenfaden, Pernille AU - Husted, Gitte Reventlov AU - Jensen, Andreas Kryger AU - Hommel, Eva AU - Olsen, Birthe AU - Pedersen-Bjergaard, Ulrik AU - Kensing, Finn AU - Teilmann, Grete PY - 2018 DA - 2018/06/26 TI -测试智能手机应用程序(患有糖尿病的年轻人)以改善12个月内糖尿病的自我管理:随机对照试验JO - JMIR Mhealth Uhealth SP - e141 VL - 6 IS - 6 KW - Mhealth KW -随机对照试验KW -自我管理KW -糖尿病KW -年轻人KW -过渡AB -背景:年轻人在从童年到成年的过渡期间往往难以自我管理1型糖尿病。移动健康(mHealth)应用程序可能有支持自我管理的潜力，但证据有限，需要进行随机对照试验。目的:我们评估了mHealth应用程序“患有糖尿病的年轻人”是否改善了年轻人的自我管理，通过糖化血红蛋白(HbA1c)和三种自我报告的心理量表测量。方法:将血糖控制不充分的年轻人(14-22岁)及其父母纳入一项随机对照试验，并将其分配到患有糖尿病的年轻人和常规护理组(Young with Diabetes组)或仅接受常规护理组(对照组)。监测年轻糖尿病患者的使用情况;功能包括聊天室、联系医疗保健提供者、提醒、提示、糖尿病部门和1型糖尿病主题的信息、碳水化合物计数和父母部分。结果包括糖化血红蛋白和三个自我报告的心理测量量表:糖尿病感知能力量表;保健气候调查问卷;和糖尿病护理问题领域调查。 Data were collected at baseline and at 2, 7, and 12 months. Results: A total of 151 young people were randomized (Young with Diabetes group=76, control=75) and 49 parents agreed to participate. At 12 months, HbA1c was significantly higher (4.1 mmol/mol; 0.4 %) in the Young with Diabetes group, compared to the control group (P=.04); this finding did not occur when comparing app users (Young with Diabetes use ≥5 days) with nonusers. Young people used Young with Diabetes on a mean of 10.5 days. They spent the most time chatting about alcohol and searching for information about sex. Most young people and half of the parents reported that Young with Diabetes helped them. More than 80% would recommend Young with Diabetes to peers. Conclusions: Young with Diabetes did not improve HbA1c, but it may be a useful complement to self-management. Qualitative evaluation is needed to explore benefits and shortcomings of Young with Diabetes. Health care providers should address young peoples’ knowledge about sensitive topics, provide them with peer support, and be aware of parents’ need for information about how to support Trial Registration: ClinicalTrials.gov NCT02632383; https://clinicaltrials.gov/ct2/show/NCT02632383 (Archived by WebCite at http://www.webcitation.org/6zCK2u7xM) SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2018/6/e141/ UR - https://doi.org/10.2196/mhealth.9487 UR - http://www.ncbi.nlm.nih.gov/pubmed/29945861 DO - 10.2196/mhealth.9487 ID - info:doi/10.2196/mhealth.9487 ER -