A Franklin,Victoria Louise %A Greene,Alexandra %A Waller,Annalu %A Greene,Stephen Alan %A Pagliari,Claudia +爱丁堡大学临床和社区健康科学分部(GP科)，20西里士满街，爱丁堡EH8 9DX，英国，+44 0131 6509464，claudia.pagliari@ed.ac.uk %K糖尿病%K青少年%K电子健康%K社会支持%K短信%D 2008 %7 30.6.2008 %9原始论文%J J医学互联网Res %G英文%X背景:优化年轻人1型糖尿病的指南提倡强化胰岛素治疗，并辅以医疗团队的个人支持。“甜言蜜语”是一种新颖的干预手段，旨在通过向手机发送短信来支持病人在门诊间隙就诊。预定的信息是根据患者的情况和糖尿病自我管理目标量身定制的，通用信息包括主题“时事通讯”和其他参与者的匿名提示。该系统还允许患者向糖尿病护理团队提交数据和问题。目的:目的是探讨1型糖尿病患者如何与Sweet Talk系统互动，以了解其对该用户群体的效用。方法:受试者为64名参与随机对照试验干预组的年轻糖尿病患者。在12个月内提交给“甜蜜谈话”的所有短信都被记录了下来。使用混合定量和定性方法分析了消息传递模式和内容。结果:患者在观察期间提交了1180条消息(平均18.4条，中位数6条)。消息频率在参与者(0-240)之间广泛分布，其中5个高用户占总数的52%。 Patients’ clinical and sociodemographic characteristics were not associated with total messaging frequency, although girls sent significantly more messages unrelated to diabetes than did boys (P = .002). The content of patients’ messages fell into 8 main categories: blood glucose readings, diabetes questions, diabetes information, personal health administration, social messages, technical messages, message errors, and message responses. Unprompted submission of blood glucose values was the most frequent incoming message type (35% of total). Responses to requests for personal experiences and tips generated 40% of all the incoming messages, while topical news items also generated good responses. Patients also used the service to ask questions, submit information about their self-management, and order supplies. No patients nominated supporters to receive text messages about their self-management goals. Another option that was not used was the birthday reminder service. Conclusions: Automated, scheduled text messaging successfully engaged young people with diabetes. While the system was primarily designed to provide “push” support to patients, submission of clinical data and queries illustrates that it was seen as a trusted medium for communicating with care providers. Responses to the newsletters and submission of personal experiences and tips for circulation to other participants also illustrate the potential value of such interventions for establishing a sense of community. Although participants submitted relatively few messages, positive responses to the system suggest that most derived passive support from reading the messages. The Sweet Talk system could be readily adapted to suit other chronic disease models and age groups, and the results of this study may help to inform the design of future text message support interventions. %M 18653444 %R 10.2196/jmir.962 %U //www.mybigtv.com/2008/2/e20/ %U https://doi.org/10.2196/jmir.962 %U http://www.ncbi.nlm.nih.gov/pubmed/18653444