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DOI: 10.4338/ACI-2016-06-RA-0088
Social Networking Services-Based Communicative Care for Patients with Diabetes Mellitus in Korea
Correspondence to:
Publikationsverlauf
received:
11. Juni 2016
accepted:
22. August 2016
Publikationsdatum:
19. Dezember 2017 (online)
Summary
Objectives
Social networking services (SNS)-based online communities are good examples of improving quality of care by incorporating information technology into medicine. Therefore, we created an SNS-based community care webpage for communication among patients with diabetes mellitus (DM). We aimed to identify what diabetic patients wanted to know and were interested in by analyzing their posts and classified content in which users were interested.
Methods
As opposed to the existing physician-focused health information websites, we built a patient-focused experience exchange website, “I love insulin (http://www.iloveinsulin.co.kr).” The DM communication webpage was divided into “My Web-Chart,” “My community-free board,” and “Life & Health.” The contents analysis targeted users’ postings, and replies were classified by theme from May 2012 to June 2013. The data included number of questions asked, answers, and question-to-answer (QA) ratio in each category.
Results
A total of 264 patients registered on the “I Love Insulin” website. The most frequent topic of posts classified as questions were about diabetes itself (23%), diet (22%), and glucose levels (19%). Conversely, most answers and information provided by users were about daily life with no relationship to diabetes mellitus (54%). While there were many questions about diet, there were very few answers (2%). Whereas there was much provision of knowledge about general DM, sharing diet information was rare. The ratios of answers to questions on diet (ratio=0.059, 1/17), glucose level (ratio=0.067, 1/15), insulin regulation (ratio=0.222, 2/9) and webpage (ratio=0.167, 1/6) were significantly low compared to DM itself (all p < 0.001).
Discussion
Patients in Korea with DM tend to have insufficient knowledge about diet and insulin regulation; continuously providing diet and insulin regulation information are desirable. It is hoped that the patients would be motivated to participate actively by “knowledge sharing.” Through this process, patients learn about their diseases not from the physicians but from among themselves.
Citation: Kim H-S, Jeong YJ, Baik SJ, Yang SJ, Kim TM, Kim H, Lee H, Lee S-H, Cho JH, Choi I-Y, Yoon K-H. Social networking services-based communicative care for patients with diabetes mellitus.
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Keywords
Diabetes mellitus - personal health records - communication - networks - home health - patient selfcare - home care and e-health - consumer health
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Conflict of Interest
No conflicts of interest
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References
- 1 http://pewinternet.org/Reports/2011/HealthTopics.aspx
- 2 Escoffery C, Miner KR, Adame DD, Butler S, McCormick L, Mendell E. Internet use for health information among college students. J Am Coll Health 2005; 53 (04) 183-188.
- 3 Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM. The effectiveness of Web-based vs. non-Web-based interventions: a meta-analysis of behavioral change outcomes. J Med Internet Res 2004; 06 (04) e40.
- 4 Sawesi S, Rashrash M, Phalakornkule K, Carpenter JS, Jones JF. The Impact of Information Technology on Patient Engagement and Health Behavior Change: A Systematic Review of the Literature. JMIR Med Inform 2016; 04 (01) e1.
- 5 Wagner TH, Baker LC, Bundorf MK, Singer S. Use of the Internet for health information by the chronically ill. Prev Chronic Dis 2004; 01 (04) A13.
- 6 Harris JK, Mueller NL, Snider D. Social media adoption in local health departments nationwide. Am J Public Health 2013; 103 (09) 1700-1707.
- 7 Neiger BL, Thackeray R, Van Wagenen SA, Hanson CL, West JH, Barnes MD, Fagen MC. Use of social media in health promotion: Purposes, key performance, i ndicators, and evaluation metrics. Health Promot Pract 2012; 13 (02) 159-164.
- 8 Vance K, Howe W, Dellavalle RP. Social internet sites as a source of public health information. Dermatol Clin 2009; 27 (02) 133-136.
- 9 Shaw RJ, Johnson CM. Health information seeking and social media use on the Internet among people with diabetes. Online J Public Health Inform 2011 03: 1.
- 10 Lee MB, Kim EJ. A study on the effect of participatory motives and social influence in online community on commitment. The Journal of Information Systems 2005; 14: 191-214.
- 11 Rhee EJ. Diabetes in Asians. Endocrinol Metab (Seoul) 2015; 30 (03) 263-269.
- 12 Ha KH, Kim DJ. Trends in the Diabetes Epidemic in Korea. Endocrinol Metab (Seoul) 2015; 30 (02) 142-146.
- 13 Jeon JY, Kim DJ, Ko SH, Kwon HS, Lim S, Choi SH, Kim CS, An JH, Kim NH, Won JC, Kim JH, Cha BY, Song KH. Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Current Status of Glycemic Control of Patients with Diabetes in Korea: The Fifth Korea National Health and Nutrition Examination Survey. Diabetes Metab J 2014; 38 (03) 197-203.
- 14 Kim HS, Sun C, Yang SJ, Sun L, Li F, Choi IY, Cho JH, Wang G, Yoon KH. Randomized, Open-label, Parallel Group Study to Evaluate the Effect of Internet-based Glucose Management System on Subjects with Diabetes in China. Telemed J E Health. 2016 Mar 3. [Epub ahead of print].
- 15 Kim YJ, Rhee SY, Byun JK, Park SY, Hong SM, Chin SO, Chon S, Oh S, Woo JT, Kim SW, Kim YS. A Smartphone Application Significantly Improved Diabetes Self-Care Activities with High User Satisfaction. Diabetes Metab J 2015; 39 (03) 207-217.
- 16 Kim HS, Choi W, Baek EK, Kim YA, Yang SJ, Choi IY, Yoon KH, Cho JH. Efficacy of the Smartphone- Based Glucose Management Application Stratified by User Satisfaction. Diabetes Metab J 2014; 38 (03) 204-210.
- 17 Cho JH, Chang SA, Kwon HS, Choi YH, Ko SH, Moon SD, Yoo SJ, Song KH, Son HS, Kim HS, Lee WC, Cha BY, Son HY, Yoon KH. Long-term effect of the Internet-based glucose monitoring system on HbA1c reduction and glucose stability: a 30-month follow-up study for diabetes management with a ubiquitous medical care system. Diabetes Care 2006; 29: 2625-2631.
- 18 Kim HS, Cho JH, Yoon KH. New Directions in Chronic Disease Management. Endocrinol Metab (Seoul) 2015; 30 (02) 159-166.
- 19 Kim HS, Hwang Y, Lee JH, Oh HY, Kim YJ, Kwon HY, Kang H, Kim H, Park RW, Kim JH. Future prospects of health management systems using cellular phones. Telemed J E Health 2014; 20 (06) 544-551.
- 20 Kim HS, Lee KH, Kim H, Kim JH. Using mobile phones in healthcare management for the elderly. Maturitas 2014; 79: 381-8.
- 21 Suh S, Jean C, Koo M, Lee SY, Cho MJ, Sim KH, Jin SM, Bae JC, Kim JH. A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control. Diabetes Metab J 2014; 38 (02) 134-142.
- 22 Anderson G, Horvath J. The growing burden of chronic disease in America. Public Health Rep 2004; 119 (03) 263-270.
- 23 Deakin T, McShane CE, Cade JE, Williams RD. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev 2005; (02) CD003417.
- 24 Steed L, Cooke D, Newman S. A systematic review of psychosocial outcomes following education, selfmanagement and psychological interventions in diabetes mellitus. Patient Educ Couns 2003; 51 (01) 5-15.
- 25 Plack K, Herpertz S, Petrak F. Behavioral medicine interventions in diabetes. Curr Opin Psychiatry 2010; 23 (02) 131-138.
- 26 Channon SJ, Huws-Thomas MV, Rollnick S, Hood K, Cannings-John RL, Rogers C, Gregory JW. A multicenter randomized controlled trial of motivational interviewing in teenagers with diabetes. Diabetes Care 2007; 30: 1390-1395.
- 27 Channon S, Smith VJ, Gregory JW. A pilot study of motivational interviewing in adolescents with diabetes. Arch Dis Child 2003; 88: 680-683.
- 28 Lee C, Jung Y, Jung J, Won D. Dynamic user reliability evaluation scheme for social network service. Journal of the Korea Institute of Information Security and Cryptology 2013; (03) 157-168 [Korean].
- 29 Lee DH, Jung KY, Park KS, Kim KM, Moon JH, Lim S, Jang HC, Choi SH. Characterization of Patients with Type 2 Diabetes according to Body Mass Index: Korea National Health and Nutrition Examination Survey from 2007 to 2011. Endocrinol Metab (Seoul) 2015; 30 (04) 514-521.
- 30 Kim MK, Lee WY, Kang JH, Kang JH, Kim BT, Kim SM, Kim EM, Suh SH, Shin HJ, Lee KR, Lee KY, Lee SY, Lee SY, Lee SK, Lee CB, Chung S, Jeong IK, Hur KY, Kim SS, Woo JT. Committee of Clinical Practice Guidelines, Korean Society for the Study of Obesity. 2014 Clinical Practice Guidelines for Overweight and Obesity in Korea. Endocrinol Metab (Seoul) 2014; 29 (04) 405-409.
- 31 Kwon OB, Yu JH, Kim KK, Kang HC, Youn BB. How Many Diabetes Patients Know the Name of Hypoglycemic Agents They Are Taking?. J Korean Acad Fam Med 2005; 26: 456-463 [Korean].
- 32 Kim HS. A survey of knowledge of diabetes in patients with type 2 diabetes. J Korean Acad Funda Nurs 2004; 11 (01) 67-73 [Korean].
- 33 Kim HS, Kim H, Lee SH, Lee KH, Kim JH. Current clinical status of and obstacles to telehealth in Korea. Healthc Inform Res 2015; 21 (04) 244-250.
- 34 Ohn JH, Lee JH, Hong ES, Koo BK, Kim SW, Yi KH, Moon MK. Subjective Assessment of Diabetes Self- Care Correlates with Perceived Glycemic Control but not with Actual Glycemic Control. Diabetes Metab J 2015; 39 (01) 31-36.
- 35 Bell AM, Fonda SJ, Walker MS, Schmidt V, Vigersky RA. Mobile phone-based video messages for diabetes self-care support. J Diabetes Sci Technol 2012; 06 (02) 310-319.
- 36 Kim SI, Kim HS. Effectiveness of mobile and internet intervention in patients with obese type 2 diabetes. Int J Med Inform 2008; 77 (06) 399-404.
- 37 Ly KH, Carlbring P, Andersson G. Behavioral activation-based guided self-help treatment administered through a smartphone application: study protocol for a randomized controlled trial. Trials 2012; 13: 62.
- 38 Im JH, Lee KH, Paik SK. Influence of Physician’s Communication Style and Quality, and Physician-Patient Relationship on Patient Satisfaction. Korean J Hosp Manag 2009; 14 (03) 83-103 [Korean].
Correspondence to:
-
References
- 1 http://pewinternet.org/Reports/2011/HealthTopics.aspx
- 2 Escoffery C, Miner KR, Adame DD, Butler S, McCormick L, Mendell E. Internet use for health information among college students. J Am Coll Health 2005; 53 (04) 183-188.
- 3 Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM. The effectiveness of Web-based vs. non-Web-based interventions: a meta-analysis of behavioral change outcomes. J Med Internet Res 2004; 06 (04) e40.
- 4 Sawesi S, Rashrash M, Phalakornkule K, Carpenter JS, Jones JF. The Impact of Information Technology on Patient Engagement and Health Behavior Change: A Systematic Review of the Literature. JMIR Med Inform 2016; 04 (01) e1.
- 5 Wagner TH, Baker LC, Bundorf MK, Singer S. Use of the Internet for health information by the chronically ill. Prev Chronic Dis 2004; 01 (04) A13.
- 6 Harris JK, Mueller NL, Snider D. Social media adoption in local health departments nationwide. Am J Public Health 2013; 103 (09) 1700-1707.
- 7 Neiger BL, Thackeray R, Van Wagenen SA, Hanson CL, West JH, Barnes MD, Fagen MC. Use of social media in health promotion: Purposes, key performance, i ndicators, and evaluation metrics. Health Promot Pract 2012; 13 (02) 159-164.
- 8 Vance K, Howe W, Dellavalle RP. Social internet sites as a source of public health information. Dermatol Clin 2009; 27 (02) 133-136.
- 9 Shaw RJ, Johnson CM. Health information seeking and social media use on the Internet among people with diabetes. Online J Public Health Inform 2011 03: 1.
- 10 Lee MB, Kim EJ. A study on the effect of participatory motives and social influence in online community on commitment. The Journal of Information Systems 2005; 14: 191-214.
- 11 Rhee EJ. Diabetes in Asians. Endocrinol Metab (Seoul) 2015; 30 (03) 263-269.
- 12 Ha KH, Kim DJ. Trends in the Diabetes Epidemic in Korea. Endocrinol Metab (Seoul) 2015; 30 (02) 142-146.
- 13 Jeon JY, Kim DJ, Ko SH, Kwon HS, Lim S, Choi SH, Kim CS, An JH, Kim NH, Won JC, Kim JH, Cha BY, Song KH. Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Current Status of Glycemic Control of Patients with Diabetes in Korea: The Fifth Korea National Health and Nutrition Examination Survey. Diabetes Metab J 2014; 38 (03) 197-203.
- 14 Kim HS, Sun C, Yang SJ, Sun L, Li F, Choi IY, Cho JH, Wang G, Yoon KH. Randomized, Open-label, Parallel Group Study to Evaluate the Effect of Internet-based Glucose Management System on Subjects with Diabetes in China. Telemed J E Health. 2016 Mar 3. [Epub ahead of print].
- 15 Kim YJ, Rhee SY, Byun JK, Park SY, Hong SM, Chin SO, Chon S, Oh S, Woo JT, Kim SW, Kim YS. A Smartphone Application Significantly Improved Diabetes Self-Care Activities with High User Satisfaction. Diabetes Metab J 2015; 39 (03) 207-217.
- 16 Kim HS, Choi W, Baek EK, Kim YA, Yang SJ, Choi IY, Yoon KH, Cho JH. Efficacy of the Smartphone- Based Glucose Management Application Stratified by User Satisfaction. Diabetes Metab J 2014; 38 (03) 204-210.
- 17 Cho JH, Chang SA, Kwon HS, Choi YH, Ko SH, Moon SD, Yoo SJ, Song KH, Son HS, Kim HS, Lee WC, Cha BY, Son HY, Yoon KH. Long-term effect of the Internet-based glucose monitoring system on HbA1c reduction and glucose stability: a 30-month follow-up study for diabetes management with a ubiquitous medical care system. Diabetes Care 2006; 29: 2625-2631.
- 18 Kim HS, Cho JH, Yoon KH. New Directions in Chronic Disease Management. Endocrinol Metab (Seoul) 2015; 30 (02) 159-166.
- 19 Kim HS, Hwang Y, Lee JH, Oh HY, Kim YJ, Kwon HY, Kang H, Kim H, Park RW, Kim JH. Future prospects of health management systems using cellular phones. Telemed J E Health 2014; 20 (06) 544-551.
- 20 Kim HS, Lee KH, Kim H, Kim JH. Using mobile phones in healthcare management for the elderly. Maturitas 2014; 79: 381-8.
- 21 Suh S, Jean C, Koo M, Lee SY, Cho MJ, Sim KH, Jin SM, Bae JC, Kim JH. A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control. Diabetes Metab J 2014; 38 (02) 134-142.
- 22 Anderson G, Horvath J. The growing burden of chronic disease in America. Public Health Rep 2004; 119 (03) 263-270.
- 23 Deakin T, McShane CE, Cade JE, Williams RD. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev 2005; (02) CD003417.
- 24 Steed L, Cooke D, Newman S. A systematic review of psychosocial outcomes following education, selfmanagement and psychological interventions in diabetes mellitus. Patient Educ Couns 2003; 51 (01) 5-15.
- 25 Plack K, Herpertz S, Petrak F. Behavioral medicine interventions in diabetes. Curr Opin Psychiatry 2010; 23 (02) 131-138.
- 26 Channon SJ, Huws-Thomas MV, Rollnick S, Hood K, Cannings-John RL, Rogers C, Gregory JW. A multicenter randomized controlled trial of motivational interviewing in teenagers with diabetes. Diabetes Care 2007; 30: 1390-1395.
- 27 Channon S, Smith VJ, Gregory JW. A pilot study of motivational interviewing in adolescents with diabetes. Arch Dis Child 2003; 88: 680-683.
- 28 Lee C, Jung Y, Jung J, Won D. Dynamic user reliability evaluation scheme for social network service. Journal of the Korea Institute of Information Security and Cryptology 2013; (03) 157-168 [Korean].
- 29 Lee DH, Jung KY, Park KS, Kim KM, Moon JH, Lim S, Jang HC, Choi SH. Characterization of Patients with Type 2 Diabetes according to Body Mass Index: Korea National Health and Nutrition Examination Survey from 2007 to 2011. Endocrinol Metab (Seoul) 2015; 30 (04) 514-521.
- 30 Kim MK, Lee WY, Kang JH, Kang JH, Kim BT, Kim SM, Kim EM, Suh SH, Shin HJ, Lee KR, Lee KY, Lee SY, Lee SY, Lee SK, Lee CB, Chung S, Jeong IK, Hur KY, Kim SS, Woo JT. Committee of Clinical Practice Guidelines, Korean Society for the Study of Obesity. 2014 Clinical Practice Guidelines for Overweight and Obesity in Korea. Endocrinol Metab (Seoul) 2014; 29 (04) 405-409.
- 31 Kwon OB, Yu JH, Kim KK, Kang HC, Youn BB. How Many Diabetes Patients Know the Name of Hypoglycemic Agents They Are Taking?. J Korean Acad Fam Med 2005; 26: 456-463 [Korean].
- 32 Kim HS. A survey of knowledge of diabetes in patients with type 2 diabetes. J Korean Acad Funda Nurs 2004; 11 (01) 67-73 [Korean].
- 33 Kim HS, Kim H, Lee SH, Lee KH, Kim JH. Current clinical status of and obstacles to telehealth in Korea. Healthc Inform Res 2015; 21 (04) 244-250.
- 34 Ohn JH, Lee JH, Hong ES, Koo BK, Kim SW, Yi KH, Moon MK. Subjective Assessment of Diabetes Self- Care Correlates with Perceived Glycemic Control but not with Actual Glycemic Control. Diabetes Metab J 2015; 39 (01) 31-36.
- 35 Bell AM, Fonda SJ, Walker MS, Schmidt V, Vigersky RA. Mobile phone-based video messages for diabetes self-care support. J Diabetes Sci Technol 2012; 06 (02) 310-319.
- 36 Kim SI, Kim HS. Effectiveness of mobile and internet intervention in patients with obese type 2 diabetes. Int J Med Inform 2008; 77 (06) 399-404.
- 37 Ly KH, Carlbring P, Andersson G. Behavioral activation-based guided self-help treatment administered through a smartphone application: study protocol for a randomized controlled trial. Trials 2012; 13: 62.
- 38 Im JH, Lee KH, Paik SK. Influence of Physician’s Communication Style and Quality, and Physician-Patient Relationship on Patient Satisfaction. Korean J Hosp Manag 2009; 14 (03) 83-103 [Korean].