지속적 혈당 모니터링 기기를 적용 중인 제2형 당뇨병 및 당뇨병 전단계 환자를 위한 스마트폰 기반 식이조절 코칭 프로그램 콘텐츠 개발과 적용가능성
Development and Adaptability of Smartphone-based Dietary Coaching Program for Patients Undergoing Diabetes and Prediabetes with Continuous Glucose Monitoring Device
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초록
Objectives: The purpose of this study is to develop program contents for healthy dietary lifestyle in patients with type 2 diabetes and pre-diabetes using continuous glucose monitoring and to analyze their feasibility using the RE-AIM plan evaluation framework. Methods: Data were collected from Novem- ber 2020 to February 2021. The program was developed through the process of analysis-design-development-implementation and evaluation. It consisted of diabetes-diet education, dietary feedback, individual coaching, and group coaching. Twenty three patients participated the intervention for 4 weeks. Participation rate, achievement level of intervention, health outcome, and accuracy of performance were evaluated. Results: In terms of reach, 77.8% of the participants sent pictures of their meal during 4 weeks. In terms of effectiveness, fat intakes (Z = -1.96, p = 0.049) and BMI (Z = -2.33, p = 0.020) increased significantly after the intervention. Coaching times on the adoption side were 127.5 min per week. Participants and coaching providers showed 100% adherence. Conclusions: These results suggest that dietary coaching program deserves to be applied to community practice for diabetes management.
Abstract
Objectives: The purpose of this study is to develop program contents for healthy dietary lifestyle in patients with type 2 diabetes and pre-diabetes using continuous glucose monitoring and to analyze their feasibility using the RE-AIM plan evaluation framework. Methods: Data were collected from Novem- ber 2020 to February 2021. The program was developed through the process of analysis-design-development-implementation and evaluation. It consisted of diabetes-diet education, dietary feedback, individual coaching, and group coaching. Twenty three patients participated the intervention for 4 weeks. Participation rate, achievement level of intervention, health outcome, and accuracy of performance were evaluated. Results: In terms of reach, 77.8% of the participants sent pictures of their meal during 4 weeks. In terms of effectiveness, fat intakes (Z = -1.96, p = 0.049) and BMI (Z = -2.33, p = 0.020) increased significantly after the intervention. Coaching times on the adoption side were 127.5 min per week. Participants and coaching providers showed 100% adherence. Conclusions: These results suggest that dietary coaching program deserves to be applied to community practice for diabetes management.
참고문헌 (54)
- 정찬희, "Diabetes Fact Sheets in Korea, 2020: An Appraisal of Current Status", Diabetes and Metabolism Journal, 45(1), pp.1~10 (2021), 대한당뇨병학회[DOI]
- Pouya Saeedi, "Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition", Diabetes Research and Clinical Practice, 157, pp.107843~ (2019), Elsevier BV[DOI]
- 허규연, "2021 Clinical Practice Guidelines for Diabetes Mellitus of the Korean Diabetes Association", Diabetes and Metabolism Journal, 45(4), pp.461~481 (2021), 대한당뇨병학회[DOI]
- Kim YH, "Twoyear clinical outcomes between prediabetic and diabetic patients with STEMI and multivessel disease who underwent successful PCI using drug-eluting stents", Angiology, 72(1), pp.50~61 (2021)[DOI]
- Min Chen, "Non-linear associations of body mass index with impaired fasting glucose, β-cell dysfunction, and insulin resistance in nondiabetic Chinese individuals: a cross-sectional study", Endokrynologia Polska, 72(6), pp.618~624 (2021), VM Media SP. zo.o VM Group SK[DOI]
- 이상열, "Hospital-Based Korean Diabetes Prevention Study: A Prospective, Multi-Center, Randomized, Open-Label Controlled Study", Diabetes and Metabolism Journal, 43(1), pp.49~58 (2019), 대한당뇨병학회[DOI]
- de Menezes MC, "A systematic review of effects, potentialities, and limitations of nutritional interventions aimed at managing obesity in primary and secondary health care", Nutrition, 75-76, pp.110784~ (2020)[DOI]
- Laura R Saslow, "An Online Intervention Comparing a Very Low-Carbohydrate Ketogenic Diet and Lifestyle Recommendations Versus a Plate Method Diet in Overweight Individuals With Type 2 Diabetes: A Randomized Controlled Trial", Journal of Medical Internet Research, 19(2), pp.e36~ (2017), JMIR Publications Inc.[DOI]
- Jane W. Muchiri, "Effectiveness of an adapted diabetes nutrition education program on clinical status, dietary behaviors and behavior mediators in adults with type 2 diabetes: a randomized controlled trial", Journal of Diabetes & Metabolic Disorders, 20(1), pp.293~306 (2021), Springer Science and Business Media LLC[DOI]
- Phung Lam Toi, "Preventive Role of Diet Interventions and Dietary Factors in Type 2 Diabetes Mellitus: An Umbrella Review", Nutrients, 12(9), pp.2722~ (2020), MDPI AG[DOI]
- Pennie J Taylor, "Effectiveness and acceptability of continuous glucose monitoring for type 2 diabetes management: A narrative review", Journal of Diabetes Investigation, 9(4), pp.713~725 (2018), Wiley[DOI]
- Junqing Xie, "Evaluating the Validity of Current Mainstream Wearable Devices in Fitness Tracking Under Various Physical Activities: Comparative Study", JMIR mHealth and uHealth, 6(4), pp.e94~ (2018), JMIR Publications Inc.[DOI]
- Lee, "Effect of Diabetes Education Through Pattern Management on Self-Care and Self-Efficacy in Patients with Type 2 Diabetes", International Journal of Environmental Research and Public Health, 16(18), pp.3323~ (2019), MDPI AG[DOI]
- Brian Quinn, "The effects of pharmaceuticals on the regeneration of the cnidarian, Hydra attenuata", Science of The Total Environment, 402(1), pp.62~69 (2008), Elsevier BV[DOI]
- 이미준, "당뇨병 환자의 자가관리를 위한 모바일 기반의 휴먼코칭 헬스케어서비스의 효과", 융합정보논문지, 7(4), pp.83~89 (2017), 중소기업융합학회[DOI]
- Lyndsay A Nelson, "Mobile Phone Support for Diabetes Self-Care Among Diverse Adults: Protocol for a Three-Arm Randomized Controlled Trial", JMIR Research Protocols, 7(4), pp.e92~ (2018), JMIR Publications Inc.[DOI]
- Rachel C. Shelton, "An Extension of RE-AIM to Enhance Sustainability: Addressing Dynamic Context and Promoting Health Equity Over Time", Frontiers in Public Health, 8 (2020), Frontiers Media SA[DOI]
- "OnePress theme by FameThemes 2022"[URL]
- Russell E. Glasgow, "RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review", Frontiers in Public Health, 7 (2019), Frontiers Media SA[DOI]
- Jamabhorn Jaipakdee, "Effectiveness of a self‐management support program for <scp>T<", scp>hais with type 2 diabetes: Evaluation according to the <scp>RE‐AIM<, Nursing & Health Sciences, pp.2015, 17(3)[DOI]
- Laura García-Molina, "Improving type 2 diabetes mellitus glycaemic control through lifestyle modification implementing diet intervention: a systematic review and meta-analysis", European Journal of Nutrition, 59(4), pp.1313~1328 (2019), Springer Science and Business Media LLC[DOI]
- American Diabetes Association, "2. Classification and diagnosis of diabetes:Standards of medical care in diabetes—2021", Diabetes Care, 44(Supplement_1), pp.S15~S33 (2020), American Diabetes Association[DOI]
- Kolb L, "An Effective Model of Diabetes Care and Education: The ADCES7 Self-Care Behaviors™", The Science of Diabetes Self-Management and Care, 47(1), pp.30~53 (2021), SAGE Publications[DOI]
- Korean Diabetes Association, "Treatment guideline for diabetes" (2019), Korean Diabetes Association
- Korean Society for the Study of Obesity, "Guideline for the management of obesity", Korean Society for the Study of Obesity, ~ (2018)
- Ministry of Health and Welfare, "Dietary reference intakes for Koreans 2015" (2015), Ministry of Health and Welfare, The Korean Nutrition Society
- John Whitmore, "Business coaching international: unlocking the secrets and the power", Coaching: An International Journal of Theory, Research and Practice, 2(2), pp.176~179 (2009), Informa UK Limited[DOI]
- K. Odgers‐Jewell, "Effectiveness of group‐based self‐management education for individuals with Type 2 diabetes: a systematic review with meta‐analyses and meta‐regression", Diabetic Medicine, 34(8), pp.1027~1039 (2017), Wiley[DOI]
- Pamela R. Van Dyke, "Virtual Group Coaching: A Curriculum for Coaches and Educators", Journal of Psychological Issues in Organizational Culture, 5(2), pp.72~86 (2014), Wiley[DOI]
- Maria Ida Maiorino, "Effects of Continuous Glucose Monitoring on Metrics of Glycemic Control in Diabetes: A Systematic Review With Meta-analysis of Randomized Controlled Trials", Diabetes Care, 43(5), pp.1146~1156 (2020), American Diabetes Association[DOI]
- Pennie J Taylor, "Effectiveness and acceptability of continuous glucose monitoring for type 2 diabetes management: A narrative review", Journal of Diabetes Investigation, 9(4), pp.713~725 (2018), Wiley[DOI]
- Roy W. Beck, "Continuous Glucose Monitoring Versus Usual Care in Patients With Type 2 Diabetes Receiving Multiple Daily Insulin Injections", Annals of Internal Medicine, 167(6), pp.365~ (2017), American College of Physicians[DOI]
- 정창숙, "Effectiveness of Internet-based Interventions on HbA1c Levels in Adult Patients with Diabetes: A Meta-Analysis of Randomized Controlled Trials", 보건정보통계학회지, 43(4), pp.307~317 (2018), 한국보건정보통계학회[DOI]
- Dina H Griauzde, "Continuous Glucose Monitoring With Low-Carbohydrate Nutritional Coaching to Improve Type 2 Diabetes Control: Randomized Quality Improvement Program", Journal of Medical Internet Research, 24(2), pp.e31184~ (2022), JMIR Publications Inc.[DOI]
- Olivia Yost, "Continuous Glucose Monitoring With Low-Carbohydrate Diet Coaching in Adults With Prediabetes: Mixed Methods Pilot Study", JMIR Diabetes, 5(4), pp.e21551~ (2020), JMIR Publications Inc.[DOI]
- Golnaz Azami, "Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes", Journal of Diabetes Research, 2018, pp.1~12 (2018), Hindawi Limited[DOI]
- Jeon EJ, "Development and effectiveness evaluation of diabetes selfmanagement mobile application based on IMB modelㅍ", pp.2017
- Ruth Q. Wolever, "A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral Intervention in Healthcare", Global Advances in Health and Medicine, 2(4), pp.38~57 (2013), SAGE Publications[DOI]
- 고정미, "임신성 당뇨 임부의 혈당조절을 위한 포괄적인 생활양식조절 코칭 프로그램의 효과", Journal of Korean Academy of Nursing, 44(6), pp.672~681 (2014), 한국간호과학회
- 이주은, "관상동맥중재술을 받은 환자를 위한 스마트 프로그램이 질병관련 지식, 건강행위와 삶의 질에 미치는 효과: 비무작위 대조군설계", Journal of Korean Academy of Nursing, 47(6), pp.756~769 (2017), 한국간호과학회
- Stephanie MacLeod, "The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults", Geriatric Nursing, 38(4), pp.334~341 (2017), Elsevier BV[DOI]
- Michael Mackert, "Health Literacy and Health Information Technology Adoption: The Potential for a New Digital Divide", Journal of Medical Internet Research, 18(10), pp.e264~ (2016), JMIR Publications Inc.[DOI]
- Kim JH, "Improvement of dietary behavior and nutritional knowledge of the diabetes who participate in the nutrition education program of diabetes buffet", pp.2015
- 오지윤, "당뇨병 성인 대상 보건소 영양교육 프로그램 개발 및 효과 분석 -개인별 맞춤 하루 필요 에너지 및 식품군 단위수 교육을 중심으로-", 대한지역사회영양학회지, 15(4), pp.485~497 (2010), 대한지역사회영양학회
- American Diabetes Association, "Standards of medical care in diabetes", Diabetes Care, 39(Suppl 1), pp.S1~S106 (2016)
- Kyungho Ha, "Inadequate fat or carbohydrate intake was associated with an increased incidence of type 2 diabetes mellitus in Korean adults: A 12-year community-based prospective cohort study", Diabetes Research and Clinical Practice, 148, pp.254~261 (2019), Elsevier BV[DOI]
- Beth H. Rice Bradley, "Dietary Fat and Risk for Type 2 Diabetes: a Review of Recent Research", Current Nutrition Reports, 7(4), pp.214~226 (2018), Springer Science and Business Media LLC[DOI]
- John L Sievenpiper, "Low-carbohydrate diets and cardiometabolic health: the importance of carbohydrate quality over quantity", Nutrition Reviews, 78(Supplement_1), pp.69~77 (2020), Oxford University Press (OUP)[DOI]
- F. L. Santos, "Systematic review and meta‐analysis of clinical trials of the effects of low carbohydrate diets on cardiovascular risk factors", Obesity Reviews, 13(11), pp.1048~1066 (2012), Wiley[DOI]
- T. Hu, "The effects of a low-carbohydrate diet on appetite: A randomized controlled trial", Nutrition, Metabolism and Cardiovascular Diseases, 26(6), pp.476~488 (2016), Elsevier BV[DOI]
- Mohammad Ishraq Zafar, "Low-glycemic index diets as an intervention for diabetes: a systematic review and meta-analysis", The American Journal of Clinical Nutrition, 110(4), pp.891~902 (2019), Elsevier BV[DOI]
- 김미경, "2019 Clinical Practice Guidelines for Type 2 Diabetes Mellitus in Korea", Diabetes and Metabolism Journal, 43(4), pp.398~406 (2019), 대한당뇨병학회[DOI]
- "Chronic disease health statistics"[URL]
- "Diet and weight management: Noom" (2022)[URL]
