参与技术辅助糖尿病自我管理教育的患者和教练员的话语重点探讨卡塔尔世界杯8强波胆分析健康临床实施研究:伊德里斯，穆罕默德·伊莱玛·门萨，欧内斯特·奥洛伦达尔，伊丽莎白·穆罕默德，穆罕默德·布朗，米歇尔·奥菲利，伊丽莎白·佩姆，普莉西拉，莫尔豪斯医学院医学和临床研究中心，720 Westview Drive SW，亚特兰大，乔治亚州，30310，美国，144047566684;pipemu@msm.edu %K自我管理%K结构主题建模%K指导%K糖尿病%K少数民族人口%K手机%D 2022 %7 18.3.2022 %9背景:对于服务不足的糖尿病患者来说，一个关键的未被满足的需求是定期获得足够的糖尿病自我管理支持。尽管数字技术的进步为电子保健应用铺平了道路，为慢性病自我管理量身定制的干预措施提供了可扩展的途径，但健康和数字素养仍然是利用这些技术进行有效糖尿病自我管理教育的障碍。研究表明，教练的可用性有助于保持对基于互联网的学习的参与，并提高行为改变的自我效能。然而，人们对参与这些相互作用的物质知之甚少。目的:本研究旨在比较达到自我管理目标和未达到自我管理目标的患者-教练对的对话内容。背景是在亚特兰大市区莫尔豪斯选择责任医疗组织的实践中使用Health360x进行糖尿病自我管理行为改变的临床实施研究。Health360x是一种教练辅助的消费者健康信息技术，旨在支持服务不足的高风险糖尿病患者的自我管理技能获取和行为。方法:我们对患者和教练员的话语强调进行了新颖的分析。 We examined transcripts of visits using a structural topic model to estimate topic content and prevalence as a function of patient and coach characteristics. We compared topics between patient–coach pairs that achieved diabetes-related self-management goals and those who did not. We also estimated a regression in which utterances are the units, the dependent variable is the proportion of an utterance that is about a given topic, and the independent variables are speaker types and explored other themes. Results: Transcripts from 50 patients who were recruited and consented, starting in February 2015, were analyzed. A total of 44 topics were estimated for patient–coach pairs that achieved their intended health goals and 50 topics for those who did not. Analysis of the structural topic model results indicated that coaches in patient–coach pairs that were able to achieve self-management goals provided more contextual feedback and probed into patients’ experience with technology and trust in consumer information technologies. We also found that discussions around problem areas and stress, support (βCoach=.015; P<.001), initial visits (βCoach=.02; P<.001), problems with technology (βCoach=.01; P<.001), health eating goals (βCoach=.01; P=.04), diabetes knowledge (βCoach=.02; P<.001), managing blood sugar (βCoach=.03; P<.001), and using Health360x (βCoach=.003; P=.03) were dominated by coaches. Conclusions: Coach-facilitated, technology-based diabetes self-management education can help underserved patients with diabetes. Our use of topic modeling in this application sheds light on the actual dynamics in conversations between patients and coaches. Knowledge of the key elements for successful coach–patient interactions based on the analysis of transcripts could be applied to understanding everyday patient–provider encounters, given the recent paradigm shift around the use of telehealth. %M 35302506 %R 10.2196/23535 %U //www.mybigtv.com/2022/3/e23535 %U https://doi.org/10.2196/23535 %U http://www.ncbi.nlm.nih.gov/pubmed/35302506