糖尿病技术的价值使指导(DTEC)支持t2dm医学干预的缓解评估:患者和健康教练的观点。

PLOS digital health Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI:10.1371/journal.pdig.0000701
Madison Taylor, Denise Ng, Kaylen J Pfisterer, Joseph A Cafazzo, Diana Sherifali
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引用次数: 0

摘要

T2D医学干预的多组分缓解评估(REMIT)项目显示,糖尿病复发风险降低了34-43%,但可以从扩大、传播和维持糖尿病的能力中获益。本研究在概念化阶段,探讨了患者和健康教练对数字REMIT适应(糖尿病技术支持教练(DTEC))的可接受性、采用性、可行性和适当性的看法。对患者(n = 6)和健康教练(n = 6)进行了12次半结构化访谈,以探讨他们在REMIT研究中的经验、虚拟化的机会和解决方案概念的认知过程。对文本进行归纳和演绎分析,以允许有机主题的出现,并围绕可接受性、采用性、可行性和适当性的结构定位这些主题,同时允许新的代码出现以供讨论。与会者认为发展技术方案的价值在于:提供一个促进和扩大汇款支持的机会;方便、高效、可扩展的概念(可接受性);通过将行为与结果联系起来(采用),具有激励的潜力;为持续使用(可行性)提供低工作量需求的机会。与会者还强调了确保DTEC能够提供富有同情心的见解并支持自动数据输入(适当性)的重要考虑因素。与会者提出了关于公平获取的若干考虑因素,值得进一步审议,包括:提供技术、培训以支持技术扫盲,以及发展技术中心支持和改进卫生扫盲的机会。因此,DTEC可以作为一个调解人,可以增加或减少影响谁可以受益的机会。如果公平考虑得到解决,DTEC有可能解决传统REMIT计划以前的缺点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The value of diabetes technology enabled coaching (DTEC) to support remission evaluation of medical interventions in T2D: Patient and health coach perspectives.

The multicomponent Remission Evaluation of Medical Interventions in T2D (REMIT) program has shown reduction of hazard of diabetes relapse by 34-43%, but could benefit from improved ability to scale, spread, and sustain it. This study explored, at the conceptualization phase, patient and health coach perspectives on the acceptability, adoption, feasibility, and appropriateness of a digital REMIT adaptation (diabetes technology enabled coaching (DTEC)). Twelve semi-structured interviews were conducted with patients (n = 6) and health coaches (n = 6) to explore their experiences with the REMIT study, opportunities for virtualisation, and a cognitive walkthrough of solution concepts. Transcripts were analyzed both inductively and deductively to allow for organic themes to emerge and to position these themes around the constructs of acceptability, adoption, feasibility, and appropriateness while allowing new codes to emerge for discussion. Participants saw value in DTEC as: an opportunity to facilitate and extend REMIT support; a convenient, efficient, and scalable concept (acceptability); having potential to motivate through connecting behaviours to outcomes (adoption); an opportunity for lower-effort demands for sustained use (feasibility). Participants also highlighted important considerations to ensure DTEC could provide compassionate insights and support automated data entry (appropriateness). Several considerations regarding equitable access were raised and warrant further consideration including: provision of technology, training to support technology literacy, and the opportunity for DTEC to support and improve health literacy. As such, DTEC may act as a moderator that can enhance or diminish access which affects who can benefit. Provided equity considerations are addressed, DTEC has the potential to address previous shortcomings of the conventional REMIT program.

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