Type 1 diabetes self-management: developing a web-based telemedicine application

被引:24
作者
Ayatollahi, Haleh [1 ]
Hasannezhad, Mostafa [1 ]
Fard, Hedieh Saneei [2 ]
Haghighi, Mehran Kamkar [1 ]
机构
[1] Iran Univ Med Sci, Dept Hlth Informat Management, Tehran, Iran
[2] Shahid Beheshti Univ Med Sci, Imam Hossein Hosp, Paediat Endocrinol & Metab, Tehran, Iran
关键词
type 1 diabetes mellitus; chronic disease; disease management; self-management; telemedicine; Iran; health information management; RANDOMIZED CONTROLLED-TRIAL; INFORMATION-SYSTEMS; CARE; EDUCATION; COMMUNICATION; INTERVENTION; PROGRAM; SUPPORT; DESIGN; SITE;
D O I
10.1177/1833358316639456
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Self-management skills are essential for patients with diabetes mellitus to minimise the risks of complications from their condition. The aim of this research was to develop a web-based application for self-management of type 1 diabetes, suitable for use by patients, their carers and physicians. Method: The study was comprised of two phases, the first being analysis of the kind of information and capabilities required by potential users of the system. Based on the results derived from the first phase of the study, the system prototype was designed and then evaluated using the think aloud' method and a standard questionnaire. The application was designed for use by patients, their carers and physicians. Patients could enter the level of blood glucose, insulin and activities on a daily basis, and physicians were able to supervise a patient's health status from a distance. Results: Users were generally satisfied with the final version of the system. People with a wide range of literacy skills were able to use the system effectively. Conclusion: Patients or their carers could use the web-based application as a log book by entering the level of blood glucose and insulin doses on a regular basis, and as an educational resource to improve self-management skills. Physicians could use the system at any time convenient to them to support patients by giving medical advice. Further research is needed to report the effectiveness of the system in practice.
引用
收藏
页码:16 / 26
页数:11
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