TY - JOUR AU - Hietbrink, Eclaire A G AU - Middelweerd, Anouk AU - van Empelen, Pepijn AU - Preuhs, Katharina AU - Konijnendijk, Annemieke A J AU - Oude nijewame - D 'Hollosy, Wendy AU - Schrijver, Laura K AU - Laverman, Gozewijn D AU - Vollenbroek-Hutten, Miriam M R PY - 2023 DA - 2023/1/12 TI -支持2型糖尿病患者的数字生活方式教练(e-支持者1.0):参与式发展研究乔- JMIR哼因素SP - e40017六世- 10 KW -电子健康KW - mHealth KW -饮食KW -营养千瓦身体活动KW -生活方式的改变KW -指导KW -动态裁剪KW -行为改变KW -混合保健KW - 2型糖尿病KW -设计KW -治疗KW -慢性疾病KW -行为KW -理论KW -干预千瓦接受KW -可用性KW -成本AB -背景:健康的生活方式，包括有规律的体育活动和健康的饮食，在慢性疾病的治疗中变得越来越重要。结合行为改变技术(bct)和动态定制策略的电子健康干预措施可以有效支持健康的生活方式。e -支持者1.0是一款eCoach，旨在支持2型糖尿病(T2D)患者的身体活动和健康饮食。目的:本文旨在描述e - support 1.0的系统开发。方法:系统设计过程分为三个阶段。定义阶段包括选择目标群体和制定干预目标，以及确定行为决定因素，在此基础上选择bct应用于干预。在开发阶段，通过指定裁剪变量、干预选项和决策规则来开发干预内容。在最后一个阶段，在9名T2D患者中进行了可用性测试，评估了集成在Diameter应用程序中的e -支持者1.0，以评估干预的使用和可接受性。 Results: The main intervention objectives were to stimulate light to moderate-vigorous physical activities or adherence to the Dutch dietary guidelines in people with T2D. The selection of behavioral determinants was informed by the health action process approach and theories explaining behavior maintenance. BCTs were included to address relevant behavioral determinants (eg, action control, self-efficacy, and coping planning). Development of the intervention resulted in 3 types of intervention options, consisting of motivational messages, behavioral feedback, and tailor-made supportive exercises. On the basis of IF-THEN rules, intervention options could be tailored to, among others, type of behavioral goal and (barriers to) goal achievement. Data on these variables could be collected using app data, activity tracker data, and daily ecological momentary assessments. Usability testing revealed that user experiences were predominantly positive, despite some problems in the fixed delivery of content. Conclusions: The systematic development approach resulted in a theory-based and dynamically tailored eCoach. Future work should focus on expanding intervention content to other chronic diseases and lifestyle behaviors, enhancing the degree of tailoring and evaluating intervention effects on acceptability, use, and cost-effectiveness. SN - 2292-9495 UR - https://humanfactors.www.mybigtv.com/2023/1/e40017 UR - https://doi.org/10.2196/40017 UR - http://www.ncbi.nlm.nih.gov/pubmed/36633898 DO - 10.2196/40017 ID - info:doi/10.2196/40017 ER -