TY -的盟Agboola斯蒂芬•AU - Jethwani Kamal AU -洛佩兹,Lenny盟——Searl梅根·非盟-奥基夫,桑德拉盟——Kvedar约瑟夫PY - 2016 DA - 2016/11/18 TI -文本移动:随机对照试验的短信程序来提高身体活动行为对2型糖尿病患者乔- J地中海互联网Res SP - e307六世- 18 - 11 KW - 2型糖尿病KW -短信KW -手机KW -身体活动KW -接触KW -计步器AB -背景:由于手机的低成本和无所不在的特性，短信越来越多地被使用，以促使患者进行自我护理。自我护理对于2型糖尿病(T2DM)的治疗效果尤为重要。目的:本研究研究了个性化短信对身体活动的影响，通过计步器测量，以及不同类型2型糖尿病患者的临床结果。方法:Text to Move (TTM)结合了身体活动监测和指导，提供自动化和个性化的短信来帮助T2DM患者实现他们的身体活动目标。共有126名讲英语或西班牙语的糖化血红蛋白A1c (HbA1c) >的患者被亲自招募参加了为期6个月的研究，并被随机分为接受全部干预的干预组和仅接受计步器的对照组。主要结果是身体活动的变化。我们还评估了干预对糖化血红蛋白、体重和参与者参与度的影响。结果:所有参与者(干预:n=64;对照组:n=62)纳入分析。 The intervention group had significantly higher monthly step counts in the third (risk ratio [RR] 4.89, 95% CI 1.20 to 19.92, P=.03) and fourth (RR 6.88, 95% CI 1.21 to 39.00, P=.03) months of the study compared to the control group. However, over the 6-month follow-up period, monthly step counts did not differ statistically by group (intervention group: 9092 steps; control group: 3722 steps; RR 2.44, 95% CI 0.68 to 8.74, P=.17). HbA1c decreased by 0.07% (95% CI –0.47 to 0.34, P=.75) in the TTM group compared to the control group. Within groups, HbA1c decreased significantly from baseline in the TTM group by –0.43% (95% CI –0.75 to –0.12, P=.01), but nonsignificantly in the control group by –0.21% (95% CI –0.49 to 0.06, P=.13). Similar changes were observed for other secondary outcomes. Conclusion: Personalized text messaging can be used to improve outcomes in patients with T2DM by employing optimal patient engagement measures. SN - 1438-8871 UR - //www.mybigtv.com/2016/11/e307/ UR - https://doi.org/10.2196/jmir.6439 UR - http://www.ncbi.nlm.nih.gov/pubmed/27864165 DO - 10.2196/jmir.6439 ID - info:doi/10.2196/jmir.6439 ER -