OBJECTIVE: This study explored the effectiveness of an eHealth care experiential learning program in improving eHL, patient health engagement, and eHealth care use status among patients with type 2 diabetes in 3 months.
METHODS: In this randomized controlled trial, patients under case management services from various clinics in Taiwan were randomly assigned to either the intervention group receiving the 6-session eHealth care experiential learning program or the control group receiving the usual care. Data were collected using structured questionnaires at 3 time points: pretest, postintervention, and 3 months after the intervention. Descriptive data were presented using frequency distribution, percentage, mean, and SD. The outcomes were analyzed using a generalized estimating equation method by intention-to-treat analysis.
RESULTS: A total of 92 participants (46 in each group) were recruited in this study. Of these, 86 completed the course and follow-up evaluations with a mean age of 62.38 (SD 12.91) years. After completing the intervention, the intervention group had significantly higher posttest scores in eHL (β=19.94, SE 3.52; P<.001), patient health engagement (β=.28, SE 0.13; P=.04), and eHealth use (β=3.96, SE 0.42; P<.001) than the control group. Furthermore, the intervention group maintained these significant improvements in eHL (β=18.19, SE 3.82; P<.001) and eHealth use (β=3.87, SE 0.49; P<.001) after 3 months.
CONCLUSIONS: Participating in the eHealth care experiential learning program resulted in significant improvements in eHL, patient health engagement, and eHealth use among patients with type 2 diabetes. Our interventional program can inform future clinical practice and policies to strengthen self-management skills and facilitate the use of health technology in caring for patients with chronic diseases.
BACKGROUND: ClinicalTrials.gov NCT05180604; https://clinicaltrials.gov/ct2/show/NCT05180604.
目的:本研究探讨了电子卫生保健体验式学习计划在改善eHL方面的有效性,患者健康参与,以及3个月内2型糖尿病患者的电子保健使用状况。
方法:在这项随机对照试验中,来自台湾各诊所接受病例管理服务的患者被随机分配到接受6次电子健康护理体验式学习计划的干预组或接受常规护理的对照组.在3个时间点使用结构化问卷收集数据:预测试,干预后,干预后3个月。描述性数据使用频率分布呈现,百分比,意思是,SD。通过意向治疗分析,使用广义估计方程方法对结果进行分析。
结果:本研究共招募了92名参与者(每组46名)。其中,86人完成了课程和随访评估,平均年龄为62.38(SD12.91)岁。完成干预后,干预组的eHL测试后评分明显高于干预组(β=19.94,SE3.52;P<.001),患者健康参与度(β=.28,SE0.13;P=.04),和电子健康使用(β=3.96,SE0.42;P<.001)比对照组。此外,3个月后,干预组在eHL(β=18.19,SE3.82;P<.001)和eHealth使用(β=3.87,SE0.49;P<.001)方面保持了显著改善。
结论:参与eHealthcare体验式学习计划可显著改善eHL,患者健康参与,和2型糖尿病患者的电子健康使用。我们的介入计划可以为未来的临床实践和政策提供信息,以加强自我管理技能,并促进在照顾慢性病患者中使用卫生技术。
背景:ClinicalTrials.govNCT05180604;https://clinicaltrials.gov/ct2/show/NCT05180604。