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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Digital Photography as an Educational Food Logging Tool in Obese Patients with Type 2 Diabetes: Lessons Learned from A Randomized, Crossover Pilot Trial</title><author><name sortKey="Ehrmann, Brett J" sort="Ehrmann, Brett J" uniqKey="Ehrmann B" first="Brett J." last="Ehrmann">Brett J. Ehrmann</name><affiliation><nlm:aff id="A1">University of Michigan Health System, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Anderson, Robert M" sort="Anderson, Robert M" uniqKey="Anderson R" first="Robert M." last="Anderson">Robert M. Anderson</name><affiliation><nlm:aff id="A2">Michigan Center for Diabetes Translational Research, Ann Arbor, Michigan</nlm:aff></affiliation><affiliation><nlm:aff id="A3">University of Michigan Medical School, Department of Medical Education, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Piatt, Gretchen A" sort="Piatt, Gretchen A" uniqKey="Piatt G" first="Gretchen A." last="Piatt">Gretchen A. Piatt</name><affiliation><nlm:aff id="A2">Michigan Center for Diabetes Translational Research, Ann Arbor, Michigan</nlm:aff></affiliation><affiliation><nlm:aff id="A3">University of Michigan Medical School, Department of Medical Education, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Funnell, Martha M" sort="Funnell, Martha M" uniqKey="Funnell M" first="Martha M." last="Funnell">Martha M. Funnell</name><affiliation><nlm:aff id="A2">Michigan Center for Diabetes Translational Research, Ann Arbor, Michigan</nlm:aff></affiliation><affiliation><nlm:aff id="A3">University of Michigan Medical School, Department of Medical Education, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Rashid, Hira" sort="Rashid, Hira" uniqKey="Rashid H" first="Hira" last="Rashid">Hira Rashid</name><affiliation><nlm:aff id="A1">University of Michigan Health System, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Shedden, Kerby" sort="Shedden, Kerby" uniqKey="Shedden K" first="Kerby" last="Shedden">Kerby Shedden</name><affiliation><nlm:aff id="A4">University of Michigan College of Literature, Science, and the Arts, Department of Biostatistics, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Douyon, Liselle" sort="Douyon, Liselle" uniqKey="Douyon L" first="Liselle" last="Douyon">Liselle Douyon</name><affiliation><nlm:aff id="A1">University of Michigan Health System, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Ann Arbor, Michigan</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24168836</idno><idno type="pmc">4096351</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4096351</idno><idno type="RBID">PMC:4096351</idno><idno type="doi">10.1177/0145721713508826</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000415</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000415</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Digital Photography as an Educational Food Logging Tool in Obese Patients with Type 2 Diabetes: Lessons Learned from A Randomized, Crossover Pilot Trial</title><author><name sortKey="Ehrmann, Brett J" sort="Ehrmann, Brett J" uniqKey="Ehrmann B" first="Brett J." last="Ehrmann">Brett J. Ehrmann</name><affiliation><nlm:aff id="A1">University of Michigan Health System, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Anderson, Robert M" sort="Anderson, Robert M" uniqKey="Anderson R" first="Robert M." last="Anderson">Robert M. Anderson</name><affiliation><nlm:aff id="A2">Michigan Center for Diabetes Translational Research, Ann Arbor, Michigan</nlm:aff></affiliation><affiliation><nlm:aff id="A3">University of Michigan Medical School, Department of Medical Education, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Piatt, Gretchen A" sort="Piatt, Gretchen A" uniqKey="Piatt G" first="Gretchen A." last="Piatt">Gretchen A. Piatt</name><affiliation><nlm:aff id="A2">Michigan Center for Diabetes Translational Research, Ann Arbor, Michigan</nlm:aff></affiliation><affiliation><nlm:aff id="A3">University of Michigan Medical School, Department of Medical Education, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Funnell, Martha M" sort="Funnell, Martha M" uniqKey="Funnell M" first="Martha M." last="Funnell">Martha M. Funnell</name><affiliation><nlm:aff id="A2">Michigan Center for Diabetes Translational Research, Ann Arbor, Michigan</nlm:aff></affiliation><affiliation><nlm:aff id="A3">University of Michigan Medical School, Department of Medical Education, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Rashid, Hira" sort="Rashid, Hira" uniqKey="Rashid H" first="Hira" last="Rashid">Hira Rashid</name><affiliation><nlm:aff id="A1">University of Michigan Health System, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Shedden, Kerby" sort="Shedden, Kerby" uniqKey="Shedden K" first="Kerby" last="Shedden">Kerby Shedden</name><affiliation><nlm:aff id="A4">University of Michigan College of Literature, Science, and the Arts, Department of Biostatistics, Ann Arbor, Michigan</nlm:aff></affiliation></author><author><name sortKey="Douyon, Liselle" sort="Douyon, Liselle" uniqKey="Douyon L" first="Liselle" last="Douyon">Liselle Douyon</name><affiliation><nlm:aff id="A1">University of Michigan Health System, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Ann Arbor, Michigan</nlm:aff></affiliation></author></analytic><series><title level="j">The Diabetes educator</title><idno type="ISSN">0145-7217</idno><idno type="eISSN">1554-6063</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">The purpose of this pilot study is to investigate the utility of, and areas of refinement for, digital photography as an educational tool for food logging in obese patients with type 2 diabetes (T2DM).</p></sec><sec id="S2"><title>Methods</title><p id="P2">Thirty-three patients aged 18-70 with T2DM, BMI at least 30 kg/m<sup>2</sup>, and A1C 7.5-9% were recruited from an endocrinology clinic and randomized to a week of food logging using a digital camera (DC) or paper diary (PD), crossing over for week two. Patients then viewed a presentation about dietary effects on blood glucose, using patient DC and blood glucose entries. Outcomes of adherence (based on number of weekly entries), changes in mean blood glucose and frequency of blood glucose checks, and patient satisfaction were compared between methods. Patient feedback on the DC intervention and presentation was also analyzed.</p></sec><sec id="S3"><title>Results</title><p id="P3">Thirty patients completed the study. Adherence was identical across methods. The mean difference in number of entries was not significant between methods. This difference increased and neared statistical significance (favoring DC) among patients who were adherent for at least one week (21 entries, with 2 entries per day for 5 of 7 days, n=25). Mean blood glucose did not significantly decrease in either method. Patient satisfaction was similar between interventions. Feedback indicated concerns over photograph accuracy, forgetting to use the cameras, and embarrassment using them in public.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Though comparable to PD in adherence, blood glucose changes, and patient satisfaction in this pilot trial, patient feedback suggested specific areas of refinement to maximize utility of DC-based food logging as an educational tool in T2DM.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7701401</journal-id><journal-id journal-id-type="pubmed-jr-id">3434</journal-id><journal-id journal-id-type="nlm-ta">Diabetes Educ</journal-id><journal-id journal-id-type="iso-abbrev">Diabetes Educ</journal-id><journal-title-group><journal-title>The Diabetes educator</journal-title></journal-title-group><issn pub-type="ppub">0145-7217</issn><issn pub-type="epub">1554-6063</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24168836</article-id><article-id pub-id-type="pmc">4096351</article-id><article-id pub-id-type="doi">10.1177/0145721713508826</article-id><article-id pub-id-type="manuscript">NIHMS588630</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Digital Photography as an Educational Food Logging Tool in Obese Patients with Type 2 Diabetes: Lessons Learned from A Randomized, Crossover Pilot Trial</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ehrmann</surname><given-names>Brett J.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Anderson</surname><given-names>Robert M.</given-names></name><degrees>EdD</degrees><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Piatt</surname><given-names>Gretchen A.</given-names></name><degrees>MPH, PhD</degrees><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Funnell</surname><given-names>Martha M.</given-names></name><degrees>MS, RN, CDE</degrees><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Rashid</surname><given-names>Hira</given-names></name><degrees>BS</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Shedden</surname><given-names>Kerby</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Douyon</surname><given-names>Liselle</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>University of Michigan Health System, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Ann Arbor, Michigan</aff><aff id="A2"><label>2</label>Michigan Center for Diabetes Translational Research, Ann Arbor, Michigan</aff><aff id="A3"><label>3</label>University of Michigan Medical School, Department of Medical Education, Ann Arbor, Michigan</aff><aff id="A4"><label>4</label>University of Michigan College of Literature, Science, and the Arts, Department of Biostatistics, Ann Arbor, Michigan</aff><author-notes><corresp id="cor1"><bold>Contact information for corresponding author</bold>: Brett J. Ehrmann, University of Michigan Medical School, 5124 Medical Science I (C-wing), 1301 Catherine Street, Ann Arbor, Michigan, 48109-5611. Tel: 248-330-6545, Fax: 734-763-5480, <email>behrmann@med.umich.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>11</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>29</day><month>10</month><year>2013</year></pub-date><pub-date pub-type="ppub"><season>Jan-Feb</season><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>1</month><year>2015</year></pub-date><volume>40</volume><issue>1</issue><fpage>89</fpage><lpage>99</lpage><pmc-comment>elocation-id from pubmed: 10.1177/0145721713508826</pmc-comment>
<abstract><sec id="S1"><title>Purpose</title><p id="P1">The purpose of this pilot study is to investigate the utility of, and areas of refinement for, digital photography as an educational tool for food logging in obese patients with type 2 diabetes (T2DM).</p></sec><sec id="S2"><title>Methods</title><p id="P2">Thirty-three patients aged 18-70 with T2DM, BMI at least 30 kg/m<sup>2</sup>, and A1C 7.5-9% were recruited from an endocrinology clinic and randomized to a week of food logging using a digital camera (DC) or paper diary (PD), crossing over for week two. Patients then viewed a presentation about dietary effects on blood glucose, using patient DC and blood glucose entries. Outcomes of adherence (based on number of weekly entries), changes in mean blood glucose and frequency of blood glucose checks, and patient satisfaction were compared between methods. Patient feedback on the DC intervention and presentation was also analyzed.</p></sec><sec id="S3"><title>Results</title><p id="P3">Thirty patients completed the study. Adherence was identical across methods. The mean difference in number of entries was not significant between methods. This difference increased and neared statistical significance (favoring DC) among patients who were adherent for at least one week (21 entries, with 2 entries per day for 5 of 7 days, n=25). Mean blood glucose did not significantly decrease in either method. Patient satisfaction was similar between interventions. Feedback indicated concerns over photograph accuracy, forgetting to use the cameras, and embarrassment using them in public.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Though comparable to PD in adherence, blood glucose changes, and patient satisfaction in this pilot trial, patient feedback suggested specific areas of refinement to maximize utility of DC-based food logging as an educational tool in T2DM.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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