背景：2型糖尿病是一种具有重大医疗负担的慢性疾病。eHealthcare整合了医学和技术，以提高此类患者的预后；然而，足够的电子健康素养(eHL)是必要的。培养eHL对于糖尿病患者参与电子医疗保健并获得优质护理和及时支持至关重要。体验式学习理论可以提高患者的eHL和在日常护理中使用eHealth护理技术的技能。
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。
BACKGROUND: Type 2 diabetes is a chronic disease with a significant medical burden. eHealth care integrates medicine and technology to enhance the outcomes of such patients; however, adequate eHealth literacy (eHL) is necessary for that to happen. Fostering eHL is crucial for patients with diabetes to engage with eHealth care and receive quality care and timely support. Experiential learning theory can enhance patients\' eHL and skills to use eHealth care technology in their daily care.
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.
