Does a Personalized Health Portal for Diabetes Retinal Imaging Positively Affect Motivational Readiness to Change

摘要

The transtheoretical model (TTM) of behavior change has been used successfully to describe explain and predict clinical outcomes in patients with type 2 diabetes (T2D) exposed to various educational interventions. The personalized health portal allows patients to remotely view their retinal images and other related health educational information on their own time. Due to the validity of survey items, this proposal will be focusing on daily self- management, smoking, exercise and carbohydrate counting for type 2 diabetic patients. This study hypothesizes that individuals with T2D who are in the precontemplation, contemplation, or preparation (early) stages for regular self- management, exercise, smoking and carbohydrate counting and who view their own retinal images via a web portal as a part of diabetes ophthalmologic screening will progress to a higher stage of change, increase their pros of changing, decrease their cons of changing, and increase self-efficacy in managing their symptoms.