关键词: adolescents digital health digital interventions health literacy patient-centered patient-participation type 1 diabetes

Mesh : Humans Adolescent Health Literacy Diabetes Mellitus, Type 1 / therapy Digital Health Reproducibility of Results Qualitative Research

来  源:   DOI:10.3389/fpubh.2024.1340196   PDF(Pubmed)

Abstract:
Digital health intervention offers the potential to enhance health literacy, which is crucial for effective diabetes management, especially among adolescents. Diabetes is a major global public health issue, leading to devastating complications and increasing mortality rates. The incidence of type 1 diabetes mellitus (T1DM) is also on the rise, particularly among adolescents, necessitating multisectoral strategies to combat this disease. This study explores the perceptions of adolescents with T1DM in Germany regarding digital health interventions, with the aim of improving healthcare by addressing specific needs and guiding future research.
This study employed a qualitative approach using semi-structured individual interviews with adolescents with T1DM (n = 20) aged 14 to 18 years old in Germany to explore their perspectives on digital interventions for health literacy promotion. The study adopted content analysis according to Kuckartz et al. and the research followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Ethical considerations were paramount and data were rigorously analyzed using coding and iterative processes to ensure data quality and reliability.
The findings indicate that within three prominent domains, namely the utilization of digital health intervention for accessing and comprehending information, facilitating peer-to-peer interactions, and enhancing physician-patient communication and interaction, digital health interventions are either underutilized or insufficiently deployed. In addition, a notable observation is the apparent lack of patient-centered approaches for adolescents with T1DM in relation to digital health interventions and health literacy.
In order to enhance the utilization of digital health interventions and enhance health literacy it is essential to focus on capacity building through a patient-centered approach, to promote digital health literacy, and foster the cultivation of a participatory culture. The outcomes of this study offer valuable insights that can inform practical applications, further research endeavors, and influence policymaking.
摘要:
数字健康干预提供了提高健康素养的潜力,这对于有效的糖尿病管理至关重要,尤其是青少年。糖尿病是一个重大的全球性公共卫生问题。导致毁灭性的并发症和增加的死亡率。1型糖尿病(T1DM)的发病率也在上升,特别是在青少年中,必须采取多部门战略来防治这一疾病。本研究探讨了德国T1DM青少年对数字健康干预的看法,旨在通过解决特定需求和指导未来研究来改善医疗保健。
本研究采用定性方法,对德国14至18岁的T1DM(n=20)青少年进行半结构化个人访谈,以探讨他们对数字干预措施促进健康素养的看法。本研究根据Kuckartz等人的观点采用内容分析法。研究遵循了定性研究报告综合标准(COREQ)清单。道德考虑至关重要,使用编码和迭代过程对数据进行严格分析,以确保数据质量和可靠性。
研究结果表明,在三个突出的领域中,即利用数字健康干预来获取和理解信息,促进点对点互动,加强医患沟通和互动,数字卫生干预措施要么利用不足,要么部署不足。此外,一个值得注意的观察结果是,在数字健康干预和健康素养方面,T1DM青少年明显缺乏以患者为中心的方法.
为了提高数字健康干预措施的利用率和提高健康素养,必须通过以患者为中心的方法来关注能力建设。促进数字健康素养,培养参与式文化。这项研究的结果提供了有价值的见解,可以为实际应用提供信息,进一步的研究努力,影响政策制定。
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