Abstract:
Continuous glucose monitors (CGMs) improve glycemic outcomes and quality of life for many people with diabetes. Research and clinical practice efforts have focused on CGM initiation and uptake. There is limited understanding of how to sustain CGM use to realize these benefits and limited consideration for different reasons/goals for CGM use. Therefore, we apply the Information-Motivation-Behavioral Skills (IMB) model as an organizing framework to advance understanding of CGM use as a complex, ongoing self-management behavior. We present a person-centered, dynamic perspective with the central thesis that IMB predictors of optimal CGM use vary based on the CGM use goal of the person with diabetes. This reframe emphasizes the importance of identifying and articulating each person\'s goal for CGM use to inform education and support.
摘要:
连续血糖监测仪(CGMs)可改善许多糖尿病患者的血糖结果和生活质量。研究和临床实践工作集中在CGM的启动和摄取上。对如何维持CGM使用以实现这些益处的理解有限,并且对CGM使用的不同原因/目标的考虑有限。因此,我们应用信息-动机-行为技能(IMB)模型作为一个组织框架,以提高对CGM使用的理解,持续的自我管理行为。我们提出了一个以人为本的,动态视角,中心论点是最佳CGM使用的IMB预测因子根据糖尿病患者的CGM使用目标而有所不同。这种重新框架强调了确定和阐明每个人的CGM目标的重要性,以告知教育和支持。