TY -的盟Cafazzo约瑟夫•AU - Casselman马克AU -汉明,Nathaniel盟,卡兹曼黛布拉K盟——Palmert马克。R PY - 2012 DA - 2012/05/08 TI -设计移动健康应用的青少年1型糖尿病患者的自我管理:一个试点研究乔- J地中海互联网Res SP - e70六世- 14 - 3 KW - 1型糖尿病KW -青少年KW -手机KW -自我保健KW -慢性疾病AB -背景:移动健康应用程序的使用已经表明，成年2型糖尿病患者的健康状况有所改善。然而，这在1型青少年人群中并没有表现出来，尽管他们有使用科技的倾向。我们假设，这一群体需要一种更量身定制的方法和强大的坚持机制。目的:设计、开发和试验青少年1型糖尿病的移动健康干预措施。方法:我们采访了患有1型糖尿病的青少年和他们的家庭照顾者。设计原则来源于对访谈的专题分析。然后，以用户为中心的设计被用于开发移动应用程序。在为期12周的评估阶段，研究人员对20名糖化血红蛋白(HbA1c)在8%至10%之间的12-16岁青少年进行了抽样研究。每位参与者都获得了在iPhone或iPod Touch上运行的bant应用程序，以及带有蓝牙适配器的LifeScan血糖仪，用于自动传输到应用程序。结果指标是试验期间与前12周相比的平均每日血糖测量频率。 Results: Thematic analysis findings were the role of data collecting rather than decision making; the need for fast, discrete transactions; overcoming decision inertia; and the need for ad hoc information sharing. Design aspects of the resultant app emerged through the user-centered design process, including simple, automated transfer of glucometer readings; the use of a social community; and the concept of gamification, whereby routine behaviors and actions are rewarded in the form of iTunes music and apps. Blood glucose trend analysis was provided with immediate prompting of the participant to suggest both the cause and remedy of the adverse trend. The pilot evaluation showed that the daily average frequency of blood glucose measurement increased 50% (from 2.4 to 3.6 per day, P = .006, n = 12). A total of 161 rewards (average of 8 rewards each) were distributed to participants. Satisfaction was high, with 88% (14/16 participants) stating that they would continue to use the system. Demonstrating improvements in HbA1c will require a properly powered study of sufficient duration. Conclusions: This mHealth diabetes app with the use of gamification incentives showed an improvement in the frequency of blood glucose monitoring in adolescents with type 1 diabetes. Extending this to improved health outcomes will require the incentives to be tied not only to frequency of blood glucose monitoring but also to patient actions and decision making based on those readings such that glycemic control can be improved. SN - 1438-8871 UR - //www.mybigtv.com/2012/3/e70/ UR - https://doi.org/10.2196/jmir.2058 UR - http://www.ncbi.nlm.nih.gov/pubmed/22564332 DO - 10.2196/jmir.2058 ID - info:doi/10.2196/jmir.2058 ER -