Korean J Community Nutr.  2014 Aug;19(4):372-385. 10.5720/kjcn.2014.19.4.372.

Development of Web-based u-Health Self-nutrition Management Program for Diabetic Patients

• Ahn Y
• Bae J
• Kim HS

• KMID: 2268087
• DOI: http://doi.org/10.5720/kjcn.2014.19.4.372

Abstract

OBJECTIVES
The purpose of this study was to develop web-based self-nutrition management u-Health program for diabetic patients (DMDMG: Diabetes Mellitus Dietary Management Guide) for achieving systematic self-management of diet.
METHODS
The program consisted of five parts with different contents according to the results of needs assessment. Five major parts were 1) meal management part which contains calorie prescription, meals recording and dietary assessment, 2) prevention of disease part with information of diabetes and assessment of dietary behavior, 3) dietary behavior modification part with an education on dietary behavior modification plan and dietary behavior plan, 4) meal plan containing a training section for meal plan and self constructing part for meal planning by making tables, and 5) information about myself which composed with general and physical information. The system proposed in this study provides nutrients intake results right after input of diet intake, which is possible with simultaneous calculation of input data in the server with 3,495 food and 1,821 meal data base. The nutrients analysis program was evaluated with 26 diabetic patients with two-day 24 hr recall.
RESULTS
The differences of nutrients intakes between DMDMG and CANPRO 3.0 ranged from 13.5-16.5%, which was caused by the differences of databases of the two programs. The characteristics of DMDMG were; 1) it can provide an interactive tailored nutrition management, 2) it is a practical tool of diabetes nutritional management, 3) the program gives motivation for the dietary behavior modification.
CONCLUSIONS
The effectiveness of whole program needs to be conducted, but the program was an innovative tool for self-management of nutrient intakes, diet behaviors, meal management and tailored nutrition education.

Keyword

diabetes; u-Health; assesment; program; self-nutrition management

MeSH Terms

Behavior Therapy
Diabetes Mellitus
Diet
Education
Humans
Meals
Motivation
Needs Assessment
Prescriptions
Self Care

Figure

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  Fig. 1 Flow chart for developing stages of u-Health self nutrition management system

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  Fig. 2 Calorie prescription, diet recommended by calorie

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  Fig. 3 Meals recording process

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  Fig. 4 Introduction to KDRIs, dietary assessment

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  Fig. 5 Diabetes and nutrition, assessment of dietary behavior

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  Fig. 6 Dietary behavior modification plan education, making and evaluation of planning table.

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  Fig. 7 Training of meal plan, making of meal planning table

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