The development and testing of a nurse‐led smartphone‐based self‐management programme for diabetes patients with poor glycaemic control

To describe a systematic process for the development of a nurse-led smartphone-based self-management programme for type 2 diabetes patients with poor glycaemic control in Singapore.A three-step process involving the application of a theoretical framework, evidence from literature, content validity, and pilot tests were conducted for the content and technical development of the programme. Content experts and lay patients evaluated the appropriateness, relevance, and comprehensibility of the newly developed Care4Diabetes application. A pilot randomized controlled trial was conducted with 40 patients recruited in Singapore. Twenty patients each were randomly allocated to the control and intervention groups. The study outcomes were collected at baseline and at 3 months thereafter.The nurse-led smartphone-based self-management programme was developed with integration of the Care4Diabetes application and the web-portal system. The pilot results indicated that the effects of this smartphone-based programme on patient's health-related outcomes were comparable with those of the currently available nurse-led diabetes service.The smartphone-based self-management intervention was deemed effective, yet full-scale randomized controlled trials are still ongoing and the results of these may provide strong evidence of the effectiveness of such an approach in improving patient care.The uniqueness of this study lies in the integrated system used, which offers a clinical platform for diabetes nurses to provide personalized coaching and care to patients remotely, while monitoring patients' progress closely. By adopting such an approach, it would free up more time for nurses to cater to patients who are more critically in need of their direct attention.目标: 描述一个为新加坡血糖控制不佳的II型糖尿病患者提供的以护士为主导的基于智能手机的自我管理计划的系统开发过程。 方法: 课程内容和技术开发分为三个步骤,包括理论框架的应用、文献证据、内容有效性和试点测试。内容专家和非专业患者评估了新开发的Care4Diabetes应用程序的适当性、相关性和可理解性。在新加坡招募了40名患者,进行了一项试点随机对照试验。将20例患者随机分为对照组和干预组。在基线位置和此后3个月收集研究结果。 结果: 以护士为主导的基于智能手机的自我管理计划是结合Care4Diabetes应用程序和网络门户系统开发而成。试点结果表明,这种基于智能手机的项目对患者健康相关结果的影响与目前可用的以护士为主导的糖尿病服务的效果相当。 结论: 基于智能手机的自我管理干预被认为是有效的,但目前仍在进行全面的随机对照试验,这些试验的结果可能为这种方法在改善患者护理方面的有效性提供有力的证据。 影响: 本研究的独特之处在于所采用的整合系统,为糖尿病护士提供了一个临床平台,可以远程为患者提供个性化的指导和护理,同时密切监控患者的病情进展。通过采用这种方法,护士可以腾出更多的时间来照顾那些更需要直接关注的病人。.