@article{oai:nuk.repo.nii.ac.jp:00000330,
 author = {山津, 幸司 and 田尻, 祐司 and 熊谷, 秋三},
 issue = {1},
 journal = {九州地区国立大学教育系・文系研究論文集, The Joint Journal of the National Universities in Kyushu. Education and Humanities},
 month = {Sep},
 note = {application/pdf, Objectives: Diabetes is a major global public health concern. The development of prevention strategies for diabetic complications is a particularly important issue. Therefore, we have developed an internet-based behavior change program designed to improve lifestyle for the prevention of diabetic complications. The purpose of this study was to examine the feasibility of this program in Japanese diabetes patients. Methods: The participants were 13 diabetic patients (mean age: 48.8+/-8.9 years, 13 male, one type 1, mean duration of diabetes: 15.8+/-10.3 years, mean HbA1c: 7.68+/-1.07%) who had visited Kurume University Hospital. All participants received a pedometer and access to an internet-based check-plan-action (CPA) lifestyle change program. As part of the CPA program, participants were asked to select one of two courses (physical activity and/or nutrition) and set two or three corresponding behavior goals. Over the next 12 weeks, participants monitored their goal attainment and daily step count. Results: Of the initial 13 participants, 11 (84.6%) completed the program. Total caloric intake, (Pre: 2237.5+/-315.9, Post: 1850.0+/-334.9 [kcal/day], p<0.001) and salt intake (Pre: 12.5 +/-1.3, Post: 11.4+/-1.5 [g/day], p<0.005) were significantly decreased after 12 weeks. Other dietary behaviors, physical activity, and sedentary behaviors did not change significantly. Uric acid (Pre: 5.8+/-1.2, Post: 5.3+/-1.4 [mg/dL], p<0.05) was significantly improved after 12 weeks. Sixty-four percent of the participants logged into the program at least once per week, with the same proportion self-monitoring their dietary behaviors and physical activity at least once during this time. Conclusions: This internet-based CPA smart lifestyle program produced short-term, beneficial changes on diabetic patients’ dietary behaviors. In addition, the program’s completion rate and usability was sufficient and acceptable., 本論文は「九州地区国立大学教育系・文系研究論文集」Vol.5, No.1(2017/9）に査読を経て受理された。},
 volume = {5},
 year = {2017}
}