@文章{info:doi/10.2196/13980，作者=“Reidy, Claire and Foster, Claire and Rogers, Anne”，标题=“一种便利的基于网络的自我管理工具，用于使用胰岛素泵的1型糖尿病患者:使用行为改变轮和理论领域框架的干预发展”，期刊=“J Med Internet Res”，年=“2020”，月=“5”，日=“1”，卷=“22”，数=“5”，页=“e13980”，关键词=“基于网络的干预;行为改变轮;1型糖尿病;社会支持;皮下持续输注胰岛素;背景:1型糖尿病(T1D)需要强化自我管理(SM)。胰岛素泵的设计是为了更好地支持个人T1D管理，但同时，它加剧了SM的复杂性和要求。研究表明，糖尿病患者很可能从导航和连接到当地的社会支持手段和资源中受益，通过基于网络的干预提供灵活、创新和可获得的SM。然而，在这些资源中，哪些行为改变机制对患者最有利，以及如何促进SM干预的参与和支持，这些问题仍然存在。目的:本研究的目的是评估T1D患者使用胰岛素泵和专业医疗保健人员(HCPs)的观点和经验，并确定需要什么样的行为改变特征和策略，以指导现有的基于网络的社会网络(SN)干预的优化，以支持SM。 Methods: Focus groups with insulin pump users (n=19) and specialist HCPs (n=20) in 6 National Health Service (NHS) trusts across the south of England examined the barriers and enablers to incorporating and self-managing an insulin pump. An analysis was undertaken using the Behavior Change Wheel and Theoretical Domains Framework, followed by a taxonomy of behavior change techniques (BCTs) to identify the contents of and strategies for the implementation of a complex health intervention. Results: A total of 4 themes represent the SM perspectives and experiences of stakeholders: (1) a desire for access to tailored and appropriate resources and information---the support and information required for successful SM are situational and contextual, and these vary according to time and life circumstances, and therefore, these need to be tailored and appropriate; (2) specific social support preferences---taking away isolation as well as providing shared learnings and practical tips, but limitations included the fear of judgment from others and self-pity from peers; (3) the environmental context, that is, capacity and knowledge of pump clinic HCPs---HCPs acknowledge the patient's need for holistic support but lack confidence in providing it; and (4) professional responsibility and associated risks and dangers, whereas HCPs are fearful of the consequences of promoting non-NHS SM support, and they question whether SM support fits into their role. BCTs were identified to address these issues. Conclusions: The use of behavioral theory and a validated implementation framework provided a comprehensive approach for systematically identifying barriers and enablers of self-managing T1D with an insulin pump. A web-based SN intervention appears to offer additional forms of SM support while complementing NHS services. However, for intervention implementation, HCPs' apprehensions about responsibility when signposting to non-NHS SM support would need to be addressed, and opportunistic features would need to be added, through which pump users could actively engage with other people living with T1D. ", issn="1438-8871", doi="10.2196/13980", url="//www.mybigtv.com/2020/5/e13980", url="https://doi.org/10.2196/13980", url="http://www.ncbi.nlm.nih.gov/pubmed/32356776" }