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首页> 外文期刊>BMC Medical Informatics and Decision Making >Designing and evaluating a web-based self-management site for patients with type 2 diabetes - systematic website development and study protocol
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Designing and evaluating a web-based self-management site for patients with type 2 diabetes - systematic website development and study protocol

机译：设计和评估2型糖尿病患者基于网络的自我管理网站-系统的网站开发和研究协议

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Background Given that patients provide the majority of their own diabetes care, patient self-management training has increasingly become recognized as an important strategy with which to improve quality of care. However, participation in self management programs is low. In addition, the efficacy of current behavioural interventions wanes over time, reducing the impact of self-management interventions on patient health. Web-based interventions have the potential to bridge the gaps in diabetes care and self-management. Methods Our objective is to improve self-efficacy, quality of life, self-care, blood pressure, cholesterol and glycemic control and promote exercise in people with type 2 diabetes through the rigorous development and use of a web-based patient self-management intervention. This study consists of five phases: (1) intervention development; (2) feasibility testing; (3) usability testing; (4) intervention refinement; and (5) intervention evaluation using mixed methods. We will employ evidence-based strategies and tools, using a theoretical framework of self-efficacy, then elicit user feedback through focus groups and individual user testing sessions. Using iterative redesign the intervention will be refined. Once finalized, the impact of the website on patient self-efficacy, quality of life, self-care, HbA1c, LDL-cholesterol, blood pressure and weight will be assessed through a non-randomized observational cohort study using repeated measures modeling and individual interviews. Discussion Increasing use of the World Wide Web by consumers for health information and ongoing revolutions in social media are strong indicators that users are primed to welcome a new era of technology in health care. However, their full potential is hindered by limited knowledge regarding their effectiveness, poor usability, and high attrition rates. Our development and research agenda aims to address these limitations by improving usability, identifying characteristics associated with website use and attrition, and developing strategies to sustain patient use in order to maximize clinical outcomes.
机译：背景技术由于患者提供了大部分自己的糖尿病护理，因此患者自我管理培训已逐渐被视为提高护理质量的重要策略。但是，参与自我管理计划的人数很少。此外，随着时间的流逝，当前行为干预的有效性逐渐减弱，从而减少了自我管理干预对患者健康的影响。基于网络的干预措施有可能弥合糖尿病护理和自我管理方面的差距。方法我们的目标是通过严格开发和使用基于网络的患者自我管理干预措施，提高2型糖尿病患者的自我效能，生活质量，自我保健，血压，胆固醇和血糖控制，并促进运动。该研究包括五个阶段：（1）干预发展; （2）可行性测试; （3）可用性测试; （4）干预细化; （5）采用混合方法进行干预评估。我们将使用基于自我效能感的理论框架，采用基于证据的策略和工具，然后通过焦点小组和各个用户测试会议征求用户反馈。使用迭代重新设计，干预将得到完善。一旦确定，该网站对患者自我效能，生活质量，自我保健，HbA1c，LDL-胆固醇，血压和体重的影响将通过使用重复测量模型和个人访谈的非随机观察性队列研究进行评估。讨论消费者越来越多地使用万维网获取健康信息，以及社交媒体的不断变革，这些有力的迹象表明用户已准备好迎接医疗保健新时代的到来。但是，由于其有效性，易用性和高损耗率方面的知识有限，因此无法发挥其全部潜力。我们的开发和研究议程旨在通过改善可用性，识别与网站使用和损耗相关的特征以及制定策略来维持患者使用以最大化临床效果来解决这些局限性。

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