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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)

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