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research-article
Author(s):
Man Yan , MSc 1 ,
Yingchun Yu , MSc 1 ,
Shuping Li , BSc 1 ,
Peiling Zhang , BSc 1 ,
Jiaxiang Yu , PhD 2 ,
Publication date (Electronic): 31 October 2024
Journal: Journal of Medical Internet Research
Publisher: JMIR Publications
Keywords: King’s Theory of Goal Attainment, online feedback approach, newly diagnosed patients with type 2 diabetes mellitus, blood glucose control, type 2 diabetes, diabetes mellitus, blood glucose
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Diabetes poses a significant public health challenge in China and globally, with the number of patients expected to reach 592 million by 2035, notably in Asia. In China alone, an estimated 140 million individuals are living with diabetes, and a significant portion is nonadherent to medications, underscoring the urgency of effective management strategies. Recognizing the necessity of early and comprehensive management for newly diagnosed patients with type 2 diabetes, this study leverages an online teach-back method and “Internet + Nursing” platform based on King’s Theory of Goal Attainment. The approach aims to enhance glycemic control and reduce fear and misconceptions about the disease, addressing both the educational and emotional needs of the patients. The primary aim of this study was to assess the effectiveness of King’s Goal Attainment Theory in the management of newly diagnosed patients with type 2 diabetes. This research sought to develop a collaborative model for blood glucose management, integrating the expertise and roles of physicians, nurses, and patients. The model is designed to enhance the synergy in health care provision, ensuring a comprehensive approach to diabetes management. In this study conducted at Changzhou Traditional Chinese Medicine Hospital between January 2022 and February 2023, eligible patients were randomized into a control group or an online feedback group. The control group received standard care, while the online feedback group participated in a King’s Theory of Goal Attainment–based online teach-back program, enhanced by “Internet + Nursing” strategies. This included an interactive platform for goal planning, video content sharing, comprehension assessment, misconception correction, and patient-driven recaps of disease information. Health monitoring was facilitated through the “Internet + Nursing” platform. The study focused on comparing changes in glucose metabolism and emotional disorder symptoms between the groups to evaluate the intervention’s effectiveness. Following a 24-week intervention, we observed significant differences in key metrics between the online feedback group and the control group, each comprising 60 participants. The online feedback group demonstrated significant reductions in fasting plasma glucose, 2-hour postprandial glucose, and hemoglobin A 1c ( P<.05). Additionally, there was a notable decrease in hypoglycemia-related anxiety and alexithymia within this group. Conversely, the control group maintained relatively higher values for these metrics at the same time point ( P<.05). These findings underscore the efficacy of online feedback in managing glycemic control and reducing psychological distress associated with hypoglycemia. The online teaching-back method, guided by King’s Theory of Goal Attainment, effectively enhances glycemic control, reducing fasting plasma glucose, 2-hour postprandial glucose, and hemoglobin A 1c levels in newly diagnosed patients with type 2 diabetes. Simultaneously, it alleviates hypoglycemia-related anxiety and mitigates alexithymia. This approach merits widespread promotion and implementation in clinical settings. Abstract
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Implementation Mapping: Using Intervention Mapping to Develop Implementation Strategies
Maria E Fernández, Gill ten Hoor, Sanne van Lieshout … (2019)
Background: The ultimate impact of a health innovation depends not only on its effectiveness but also on its reach in the population and the extent to which it is implemented with high levels of completeness and fidelity. Implementation science has emerged as the potential solution to the failure to translate evidence from research into effective practice and policy evident in many fields. Implementation scientists have developed many frameworks, theories and models, which describe implementation determinants, processes, or outcomes; yet, there is little guidance about how these can inform the development or selection of implementation strategies (methods or techniques used to improve adoption, implementation, sustainment, and scale-up of interventions) (1, 2). To move the implementation science field forward and to provide a practical tool to apply the knowledge in this field, we describe a systematic process for planning or selecting implementation strategies: Implementation Mapping. Methods: Implementation Mapping is based on Intervention Mapping (a six-step protocol that guides the design of multi-level health promotion interventions and implementation strategies) and expands on Intervention Mapping step 5. It includes insights from both the implementation science field and Intervention Mapping. Implementation Mapping involves five tasks: (1) conduct an implementation needs assessment and identify program adopters and implementers; (2) state adoption and implementation outcomes and performance objectives, identify determinants, and create matrices of change objectives; (3) choose theoretical methods (mechanisms of change) and select or design implementation strategies; (4) produce implementation protocols and materials; and (5) evaluate implementation outcomes. The tasks are iterative with the planner circling back to previous steps throughout this process to ensure all adopters and implementers, outcomes, determinants, and objectives are addressed. Discussion: Implementation Mapping provides a systematic process for developing strategies to improve the adoption, implementation, and maintenance of evidence-based interventions in real-world settings.
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American Association of Clinical Endocrinology Consensus Statement: Comprehensive Type 2 Diabetes Management Algorithm – 2023 Update
Susan L. Samson, Priyathama Vellanki, Lawrence Blonde … (2023)
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Trends in prevalence and incidence of type 2 diabetes among adults in Beijing, China, from 2008 to 2017.
Zijing Wang, Yao Wu, Junhui Wu … (2021)
To describe secular trends in diagnosed type 2 diabetes prevalence and incidence in Beijing, China.
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Author and article information
Contributors
Jiaxiang Yu:
ORCID: https://orcid.org/0000-0001-8658-3662
Department of Nursing and RehabilitationsFaculty of Medicine and Health SciencesUniversity Putra MalaysiaAdministrative building, 3rd Fl.Serdang, 43400Malaysia60 0178736091yuge1185@gmail.com
Journal
Journal ID (nlm-ta): J Med Internet Res
Journal ID (iso-abbrev): J Med Internet Res
Journal ID (publisher-id): JMIR
Title: Journal of Medical Internet Research
Publisher: JMIR Publications (Toronto, Canada )
ISSN (Print): 1439-4456
ISSN (Electronic): 1438-8871
Publication date Collection: 2024
Publication date (Electronic): 31 October 2024
Volume: 26
Electronic Location Identifier: e59142
Affiliations
Author notes
Corresponding Author: Jiaxiang Yu yuge1185@ 123456gmail.com
Author information
Yingchun Yu https://orcid.org/0000-0002-6748-6602
Shuping Li https://orcid.org/0009-0002-2353-3291
Peiling Zhang https://orcid.org/0009-0002-2500-1715
Jiaxiang Yu https://orcid.org/0000-0001-8658-3662
Article
Publisher ID: v26i1e59142
DOI: 10.2196/59142
PMC ID: 11565083
PubMed ID: 39481094
SO-VID: 6a63c3cc-bdd1-4c61-80f6-f0d7d7a9d578
Copyright © ©Man Yan, Yingchun Yu, Shuping Li, Peiling Zhang, Jiaxiang Yu. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 31.10.2024.
License:
This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research (ISSN 1438-8871), is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.
History
Date received : 3 April 2024
Date revision requested : 27 July 2024
Date revision received : 29 July 2024
Date accepted : 30 August 2024
Categories
Subject: Original Paper
Subject: Original Paper
ScienceOpen disciplines: Medicine
Keywords: king’s theory of goal attainment,online feedback approach,newly diagnosed patients with type 2 diabetes mellitus,blood glucose control,type 2 diabetes,diabetes mellitus,blood glucose
Data availability:
ScienceOpen disciplines: Medicine
Keywords: king’s theory of goal attainment, online feedback approach, newly diagnosed patients with type 2 diabetes mellitus, blood glucose control, type 2 diabetes, diabetes mellitus, blood glucose
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