| Co-Investigator(Kenkyū-buntansha) |
INADA Hiroshi University of Hyogo, Graduate School of Applied Informatics, Professor (20028393)
YOSHIMURA Hiroyuki Ehime University, Nursing and Health Science Course, Graduate School of Medicine, Professor (70093945)
KAWAGUCHI Takayasu University of Tsukuba, Graduate School of Comprehensive Human Sciences, Professor (40214613)
KANZAKI Hatsumi University of Hyogo, Associate Professor (80295774)
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| Budget Amount *help |
¥13,370,000 (Direct Cost: ¥12,500,000、Indirect Cost: ¥870,000)
Fiscal Year 2007: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2006: ¥7,900,000 (Direct Cost: ¥7,900,000)
Fiscal Year 2005: ¥1,700,000 (Direct Cost: ¥1,700,000)
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| Research Abstract |
The objective of this study is first to develop a self-management support system through telenursing based on a cognitive behavioral approach and then to verify the efficacy of the system for patients with diabetes.
We studied the suitability of a system using a newly developed program for five employed male patients who had been diagnosed with type 2 diabetes within the previous last five years. The concept of this program was based on Kanfer's self-regulation model, which offers self-management training by repeated self-monitoring, self-evaluation and self-reinforcement. Specifically, the patients input into their cellular phones or PCs the data required for diabetes self-management for 3 months. Input items include monthly goals, weekly goals, 4-stage assessment for the goals, body weight, body fat percentage, abdominal girth, number of paces, total consumption of calories, calories burned by exercise, sugar urinary, dietary calorie intake estimates and photos of meals. We, as care providers, then gave once-a-week feedback for 'enhancing their awareness', 'offering specific solutions' and 'active enforcement of good practices.' We also provided daily e-mail newsletters with information we considered necessary for diabetes care as well as tips on how to change behavior.
These backups resulted in behavioral changes in all 5 subjects such as they began to become aware of their calorie intake and started to get accustomed to 30 minutes of walking 5 days a week. After a 3 month trial of the system, all 5 subjects showed a decrease HbA1C showing improved glycemic control compared to values before the intervention and also the Body Mass Index had decreased in 4 out of the 5 subjects, which suggests that the system was effective. It has also proven that the telenursing care system can provide much closer support for working people with chronic diseases, compared with the conventional relationship between patients and medical care providers.
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