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首页> 外文期刊>JMIR mHealth and uHealth >Exploring the Influence of a Smartphone App (Young with Diabetes) on Young People’s Self-Management: Qualitative Study
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Exploring the Influence of a Smartphone App (Young with Diabetes) on Young People’s Self-Management: Qualitative Study

机译：探索智能手机应用程序（患有糖尿病的年轻人）对年轻人的自我管理的影响：定性研究

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Background Adequate self-management is the cornerstone of preventing type 1 diabetes mellitus (T1DM) complications. However, T1DM self-management is challenging for young people, who often struggle during the transition from childhood to adulthood. The mobile health (mHealth) app Young with Diabetes (YWD) was developed in collaboration with young people to enhance their T1DM self-management during this transition. Objective The purpose of this study was to explore the influence of YWD on young people’s self-management during a 12-month period. Methods A qualitative explorative approach was used, comprising a purposive sample of 20 young people (11 females and 9 males, ages 15 to 23 years, with app use of 3 to 64 days) from 3 pediatric and 3 adult departments. Participants were interviewed individually using a semistructured interview guide. Data were collected from January to March 2017 and analyzed using thematic analysis. Results A total of 5 themes were identified: (1) not feeling alone anymore (“we are in this together”); (2) gaining competence by sharing experiences and practical knowledge (“they know what they are talking about”); (3) feeling safer (“it’s just a click away”); (4) breaking the ice by starting to share thoughts and feelings and asking for help (“it is an outstretched hand”); and (5) lack of motivating factors (“done with the app”). Young people reported that YWD promoted self-management by peer-to-peer social support, exchanging messages with health care providers, and sharing YWD with parents. Participants recommended YWD as a supplement to self-management for newly diagnosed young people with T1DM and suggested improvements in app content and functionality. Conclusions The mHealth app YWD has the potential to support self-management. In particular, peer-to-peer support reduced feelings of loneliness and helped young people to gain knowledge and skills for managing T1DM. A need exists for alternative ways to train health care providers in using YWD and to support collaboration between young people and their parents to further improve young people’s self-management of T1DM.
机译：背景技术充分的自我管理是预防1型糖尿病（T1DM）并发症的基石。但是，T1DM的自我管理对年轻人充满挑战，年轻人在从童年到成年的过渡中经常挣扎。移动健康（mHealth）应用与糖尿病青年（YWD）是与年轻人合作​​开发的，目的是在此过渡期间增强他们的T1DM自我管理能力。目的本研究的目的是探讨YWD对12个月内年轻人的自我管理的影响。方法采用定性探索性方法，从3个儿科和3个成人科中收集了20名年轻人（11名女性和9名男性，年龄15至23岁，应用使用3至64天）的目标样本。使用半结构化访谈指南对参与者进行了单独访谈。收集了2017年1月至2017年3月的数据，并使用主题分析进行了分析。结果总共确定了5个主题：（1）不再感到孤独（“我们在一起”）; （2）通过分享经验和实践知识（“他们知道他们在说什么”）来获得能力; （3）感到更安全（“只需点击一下即可”）; （4）通过分享思想和感情并寻求帮助来打破僵局（“这是伸出的手”）; （5）缺乏激励因素（“通过应用完成”）。年轻人报告说，青年促进会通过点对点社会支持，与卫生保健提供者交流信息以及与父母分享青年促进会来促进自我管理。参与者建议使用YWD作为对新诊断的T1DM年轻人的自我管理的补充，并建议改进应用程序的内容和功能。结论mHealth应用程序YWD具有支持自我管理的潜力。尤其是，点对点支持减少了孤独感，并帮助年轻人获得了管理T1DM的知识和技能。需要一种替代方法来培训医疗保健提供者使用YWD，并支持年轻人及其父母之间的合作，以进一步改善年轻人对T1DM的自我管理。

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