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KMID : 1155220230480010036
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Journal of the Korean Society of Health Information and Health Statistics
2023 Volume.48 No. 1 p.36 ~ p.50
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Development and Adaptability of Smartphone-based Dietary Coaching Program for Patients Undergoing Diabetes and Prediabetes with Continuous Glucose Monitoring Device
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Kim Myoung-Soo
Ryu Jung-Mi
Kang Min-Kyeong
Park Ji-Won
Ahn Yeh-Chan
Kim Yang-Seok
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Abstract
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Objectives: The purpose of this study is to develop program contents for healthy dietary lifestyle in patients with type 2 diabetes and pre-diabetes using continuous glucose monitoring and to analyze their feasibility using the RE-AIM plan evaluation framework.
Methods: Data were collected from Novem- ber 2020 to February 2021. The program was developed through the process of analysis-design-development-implementation and evaluation. It consisted of diabetes-diet education, dietary feedback, individual coaching, and group coaching. Twenty three patients participated the intervention for 4 weeks.
Participation rate, achievement level of intervention, health outcome, and accuracy of performance were evaluated.
Results: In terms of reach, 77.8% of the participants sent pictures of their meal during 4 weeks. In terms of effectiveness, fat intakes (Z = -1.96, p = 0.049) and BMI (Z = -2.33, p = 0.020) increased significantly after the intervention. Coaching times on the adoption side were 127.5 min per week. Participants and coaching providers showed 100% adherence.
Conclusions: These results suggest that dietary coaching program deserves to be applied to community practice for diabetes management.
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KEYWORD
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Diabetes mellitus, Prediabetes, Nutrition, Coaching, Diet
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