开发和试点测试一款基于赋权的教育应用程序，用于糖尿病补充疗法：德尔菲研究

IF 3.1 Q1 NURSING

International Journal of Nursing Studies Advances Pub Date : 2025-05-15 DOI:10.1016/j.ijnsa.2025.100353

Hsiao-Yun Chang , Yu-Yao Huang

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引用次数: 0

摘要

背景：糖尿病管理通常包括常规治疗之外的补充治疗，但患者可能缺乏将两者安全地结合起来的知识。在糖尿病管理中授权使用补充疗法可以增强患者对其益处和风险的了解，支持知情决策，并改善糖尿病的整体护理。目的开发基于赋权的糖尿病管理辅助疗法教育应用程序（app）并进行中试。方法采用两轮改进德尔菲法，于2023年10月至2024年4月对23名外部专家和6名糖尿病患者进行调查。这款应用程序是根据世界卫生组织的赋权框架设计的，强调自我控制、认知、心理和行为策略。专家共识是通过内容效度指数和试点测试集中在糖尿病患者的功能和可用性。结果该应用具有可接受的面孔效度，得分为0.88；具有可接受的内容效度，项目级和量表级的内容效度指标均超过80%。试点测试证实，该应用的导航、安全的认证过程和可靠的数据存储系统不仅用户友好，而且可行。值得注意的是，参与者对糖尿病补充疗法的益处和风险的理解显著提高了9.02%，这凸显了该应用程序的教育效果。该应用程序是一个强大的教育工具，通过提供补充疗法的信息，增强糖尿病患者将这些疗法与传统医学安全地结合起来的能力。糖尿病补充疗法的教育应用程序使患者能够安全地将补充疗法与传统医学结合起来

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Development and pilot testing of an empowerment-based educational app for complementary therapies in diabetes: a Delphi study

Background

Diabetes management often includes complementary therapies alongside conventional treatment, yet patients may lack the knowledge to integrate both safely. Empowering the use of complementary therapies in diabetes management may enhance patients' understanding of their benefits and risks, support informed decision-making, and improve overall care of diabetes.

Objective

To develop and pilot test the Empowerment-based Complementary Therapies for Diabetes Management educational application (app)

Methods

A two-round modified Delphi method, conducted from October 2023 to April 2024, involved 23 external experts and six patients with diabetes. The app was designed using the WHO's empowerment framework, emphasizing self-control, cognitive, psychological, and behavioral strategies. Expert consensus was achieved via the content validity index and pilot testing focused on functionality and usability in patients with diabetes.

Results

This app demonstrated acceptable face validity, with a score of 0.88, and content validity, with item-level and scale-level content validity indices exceeding 80 percent. The pilot testing confirmed that the app's navigation, secure authentication processes, and reliable data storage systems are not only user-friendly but also feasible. Notably, participants showed a significant 9.02 % increase in their understanding of the benefits and risks of using complementary therapies in diabetes, underscoring the app's educational effectiveness.

Conclusions

The app is a capable educational tool for empowering patients with diabetes by providing information on complementary therapies and enhancing their ability to integrate these therapies safely with conventional medicine.