@Article{信息:doi 10.2196 / / jmir。8439，作者=“Pal, Kingshuk和Dack, Charlotte和Ross, Jamie和Michie, Susan和May, Carl和Stevenson, Fiona和Farmer, Andrew和Yardley, Lucy和Barnard, Maria和Murray, Elizabeth”，标题=“成人2型糖尿病的数字健康干预:患者对糖尿病自我管理教育与支持观点的定性研究”，期刊=“J Med Internet Res”，年=“2018”，月=“2”，日=“20”，卷=“20”，数=“2”，页数=“e40”，关键词=“糖尿病，2型;自我管理;病人教育;电子健康;移动健康;背景:2型糖尿病的患病率在全球范围内不断增加，许多国家的卫生服务都在与这种长期疾病的并发症相关的发病率、死亡率和成本作斗争。糖尿病自我管理教育(DSME)和行为支持可以降低发生糖尿病相关并发症的风险，改善血糖控制。然而，它们的吸收率很低。 Digital health interventions (DHI) can provide sustained support and may overcome challenges associated with attending diabetes self-management sessions. They have the potential for delivery at multiple locations at convenient times, anonymity, and presentation of content in attractive and tailored formats. This study investigates the needs and wants of patients with type 2 diabetes to inform the development of digital self-management education and support. Objective: The objective of this study was to explore patient perspectives on unmet needs for self-management and support and the role of DHI in adults living with type 2 diabetes. Methods: This study used a qualitative approach based on data generated from 4 focus groups with 20 patients. Results: The data generated by the focus groups illustrated the significant burden that the diagnosis of diabetes places on many patients and the negative impacts on their emotional well-being, work, social life, and physical health. Although patients' experiences of the health care services varied, there was agreement that even the best services were unable to meet all users' needs to support the emotional regulation, psychological adjustment, and behavioral changes needed for successful self-management. Conclusions: By focusing on medical management and information provision, existing health care services and education programs may not be adequately meeting all the needs of patients with type 2 diabetes. DHIs have the potential to improve access to DSME and behavioral support and extend the range of content offered by health services to fit with a wider range of patient needs. Features that could help DHIs address some of the unmet needs described by participants in this study included placing an emphasis on emotional and role management, being available at all times, having up-to-date evidence-based guidance for patients, and providing access to peer-generated and professional advice. ", issn="1438-8871", doi="10.2196/jmir.8439", url="//www.mybigtv.com/2018/2/e40/", url="https://doi.org/10.2196/jmir.8439", url="http://www.ncbi.nlm.nih.gov/pubmed/29463488" }