时间：2013-10-12| 来源：糖化教育网| 作者：Prof. Odenburg| 浏览量：3096
Prof Odenburg:In recent years we have done a lot to help people with psychological problems. Indeed, we have developed a range of psychological intervention and treatment approaches, and these can be successfully implemented with people. Commonly, these approaches can be called cognitive behavioral therapies; this involves understanding how people think about a particular problem or issue, which are making them depressed and anxious. From this we can suggest ways to modify their thinking and behavior to address these issues; however, for those people where this kind of brief therapy does not work, then they will need some sort of drug medication as well.
A1CEDU:Currently, we are all searching for innovative technological approaches for the management and treatment of diabetes; indeed,one of these is the so-called “TLC Program” can you please introduce its roles and functions in these respects?
Prof Odenburg: The TLC Diabetes Program, stands for“Telephone Linked Care”. Essentially the program aims to provide assistance and support for people with diabetes over the telephone. What is unusual about this program is that the patient or caller will be talking to a very smart computer with pre-recorded conversations and recommendations directed at different areas of diabetes management and care. For example, if somebody rings up the program, the computer will ask them: how are they coping with their diabetes at the moment and whether or not they have any difficulties. If for example, the patient says they have problems raising the levels of physical activity, in order to gain a clearer understanding of the patient profile the program will then ask how much physical activity the patient is already doing in a typical day. From this the patient will talk to the program about all the different kinds of physical activity they do, be it walking, brisk walking or any other forms of exercise. After this conversation, the program can then devise ways as to how the patient can increase the levels of physical activity and also set goals for how much of this they should do over a set period of 1-4 weeks. When that patient calls the program again after the set period, the program will recognize the voice and will ask about the progress set from the last conversation. If the patient was unable to meet the set target, the program will then try to understand why this was the case by asking the relevant questions and devise further strategies for the patient to follow, so that these targets can be meet in the next set period.
Prof Odenburg:TLC系统的全称是“电话连接护理”（Telephone Linked Care），目的是通过电话为糖尿病患者提供帮助和支持。TLC系统的特别之处在于，通过呼叫，患者能够直接与一台预先存储了大量糖尿病管理知识、推荐与解决方案的智能电脑对话。例如，当患者提出“如何提高身体活动”的问题，系统会询问患者“目前每天的身体活动强度”等信息以更好地了解患者的基本情况；然后患者可以询问不同种类的运动方式等，最终系统会给出1~4周内的运动建议和目标。每一次方案设定后，当患者再次呼叫系统时，系统能通过语音辨别，询问方案的进展情况；如果患者不能很好的执行方案或者达不到预定目标，系统会通过询问相关问题调整方案，以保证在下一次通话时患者能达到目标。
A1CEDU:In your experience, on average how often do patients use this TLC Program?
Prof Odenburg: The trials that we have been undertaking regarding this program in Australia; typically patients call once a week over a 6 month period. Each time they call their discussions can range from 10-12 minutes in duration regarding some aspects of diabetes care or management.
A1CEDU: Telephone support and feedback appears to be a rather recent cost effective development in diabetes care and management. Can you offer your comments on the past and more recent developmentsin this area?
Prof Odenburg: I think this question raises the issue that we are really struggling to cope with the sheer number of people suffering with diabetes and there are just not enough healthcare professionals available to see all of these patients face to face. Consequently, I believe with more new innovative approaches such as TLC, it is possible to provide some of the care, assistance and support over the telephone either by real time with a real person or with a pre-recorded computer program.