杂志文章@ 1438- 8871% I JMIR出版公司V 18% N卡塔尔世界杯8强波胆分析 4% P 86% T通过移动设备向2型糖尿病患者传递的自动简短消息促进生活方式改变的影响:A Arambepola,Carukshi %A Ricci-Cabello,Ignacio %A Manikavasagam,Pavithra %A Roberts,Nia %A French,David P %A Farmer,Andrew %+牛津大学，纳菲尔德初级保健卫生科学系，雷德克里夫天文台区，伍德斯托克路，牛津。，牛津，OX2 6GG，英国，44 01865 617190,ignacio.riccicabello@phc.ox.ac.uk %K糖尿病，2型K移动健康%K短信%K系统回顾%K饮食%K体育活动%K自我护理%D 2016 %7 19.04.2016 %9原始论文%J J医学互联网Res %G英语%X背景:简短的自动短信有潜力支持2型糖尿病患者的自我管理，但与常规护理相比，其效果尚不清楚。目的:研究通过自动短信方式改变2型糖尿病患者生活方式行为的干预措施的有效性。方法:对对照试验进行了系统的文献回顾，研究了通过简短的信息传递，旨在促进2型糖尿病患者改变生活方式的干预措施对行为和临床结果的影响。检索的书目数据库包括Medline、Embase、CINAHL、PsycINFO和ISI WoK。两名审稿人独立筛选引文。我们提取了关于研究偏倚风险、环境(高、低和中等收入国家)和干预特征(包括理论和行为改变技术的使用)的信息。结果测量包括干预措施的可接受性及其对以下因素的影响:1)生活方式行为的决定因素(糖尿病知识、自我效能、自我管理态度);2)生活方式行为(饮食、体育活动);3)临床和患者报告的结果。在可能的情况下，我们使用随机效应荟萃分析汇集数据，以获得干预与常规护理相比的效应大小估计。 Results: We identified 15 trials (15 interventions) meeting our inclusion criteria. Most interventions were delivered via short message service text messaging (n=12) and simultaneously targeted diet and physical activity (n=11). Nine interventions consisted of unidirectional messages, whereas six consisted of bidirectional messages, with patients receiving automated tailored feedback based on self-reported data. The acceptability of the interventions, and their impact on lifestyle behavior and its determinants, were examined in a low proportion of trials, with heterogeneous results being observed. In 13 trials (1155 patients) where data were available, there was a difference in glycated hemoglobin of -0.53% (95% CI -0.59% to -0.47%) between intervention groups compared to usual care. In five trials (406 patients) there was a non-significant difference in body mass index of -0.25 kg/m2 (95% CI -1.02 to 0.52). Interventions based on unidirectional messages produced similar effects in the outcomes examined, compared to those based on bidirectional messages. Interventions conducted in low- and middle-income countries showed a greater impact than those conducted in high-income countries. In general, trials were not free of bias and did not use explicit theory. Conclusions: Automated brief messages strategies can improve health outcomes in people with type 2 diabetes. Larger, methodologically robust trials are needed to confirm these positive results. %M 27095386 %R 10.2196/jmir.5425 %U //www.mybigtv.com/2016/4/e86/ %U https://doi.org/10.2196/jmir.5425 %U http://www.ncbi.nlm.nih.gov/pubmed/27095386