TY -非盟的富兰克林,维多利亚路易丝AU -格林,亚历山德拉AU -沃勒,Annalu AU -格林,斯蒂芬·艾伦盟——Pagliari克劳迪娅PY - 2008 DA - 2008/6/30 TI -病人参与“甜言蜜语”——一个文本消息传递支持系统为年轻糖尿病患者乔- J地中海互联网Res SP - e20六世- 10 - 2 KW -糖尿病KW -青少年KW -电子健康KW -社会支持KW -短信AB -背景:优化年轻人1型糖尿病的指南提倡强化胰岛素治疗，并辅以卫生保健团队的个人支持。“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的方式在就诊间隙为患者提供支持。预约信息是根据患者的简介和糖尿病自我管理目标量身定制的，一般信息包括专题“时事通讯”和来自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系统交互，以了解其对该用户群体的效用。方法:研究对象为64名参与随机对照试验干预组的糖尿病患者。在12个月的时间里，所有提交给Sweet Talk的短信都被记录下来。使用定量和定性的混合方法分析消息传递模式和内容。结果:在观察期间，患者提交了1180条消息(平均值18.4，中位数6)。消息频率在参与者(0-240)之间分布广泛，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. SN - 1438-8871 UR - //www.mybigtv.com/2008/2/e20/ UR - https://doi.org/10.2196/jmir.962 UR - http://www.ncbi.nlm.nih.gov/pubmed/18653444 DO - 10.2196/jmir.962 ID - info:doi/10.2196/jmir.962 ER -