지속적 혈당 모니터링 기기를 적용 중인 제2형 당뇨병 및 당뇨병 전단계 환자를 위한 스마트폰 기반 식이조절 코칭 프로그램 콘텐츠 개발과 적용가능성

• Published in: 보건정보통계학회지 Vol. 48; no. 1; pp. 36 - 50
• Main Authors: 김명수, Myoung Soo Kim, 류정미, Jung Mi Ryu, 강민경, Minkyeong Kang, 박지원, Jiwon Park, 안예찬, Yeh Chan Ahn, 김양석, Yang Seok Kim
• Format: Journal Article
• Language: Korean
• Published: 한국보건정보통계학회 01.02.2023
• Subjects: Coaching; Diabetes mellitus; Diet; Nutrition; Prediabetes; 예방의학
• ISSN: 2465-8014; 2465-8022
• DOI: 10.21032/jhis.2023.48.1.36

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 November 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.