患者中心のeヘルス介入の実施と評価,私の腎臓 私の健康,プライマリケアと一般腎臓科クリニックで:多手法研究
Sabrina Jassemi1, Dwight Sparkes2, Maria Delgado2
1Department of Medicine, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada, 1 (403) 220-5110.
Journal of medical Internet research
|August 29, 2025
まとめ
医療提供者は慢性腎臓病 (CKD) 患者の自己管理ツールを実装する準備ができています. 理論に基づいた戦略的実施は,これらの重要な患者資源の持続可能性を向上させることができます.
科学分野:
- 医療サービス研究
- 実施科学
- 忍耐 し て 自分 を 管理 する
背景:
- 慢性腎疾患 (CKD) の管理には,患者の自己管理と初等医療と腎臓学の臨床支援が必要です.
- その
- 腎臓 と 健康
- CKD患者の自己管理支援のギャップを補うために共同で開発されました.
- 医療提供者の視点を理解することは 効果的なリソースの活用に不可欠です
研究 の 目的:
- 統合するための戦略を策定し評価する
- 腎臓 と 健康
- 通常の初等医療や腎臓科の診療に
- 患者の自己管理のリソースの導入に伴う障壁や要因を特定する.
- 提供者からのフィードバックと行動変化の理論に基づいた,適応した実装戦略を共同で設計し,立ち上げます.
主な方法:
- カナダのアルバータ州で 医療従事者との間で 品質実施枠組みに基づいて 多段階の研究が行われました
- 半構造面接を含む定性記述的方法論は,実施の障壁と促進要因 (1段階) を特定し,3段階の実施を評価するために使用されました.
- 実施戦略は共同で開発され,第1段階の調査結果に基づいて実施され,ウェブサイトの分析と文書の配布 (第2段階) を通じて関与が追跡されました.
主要な成果:
- 16人の医療従事者が最初のインタビューに参加し,意識,記憶,時間,モチベーション,アクセシビリティを主要な実施障害として特定しました.
- 教育セッション,リマインダー,コーチングを含む共同で設計された実施戦略が参加者によって実施されました.
- 9つのプロバイダーとのフォローアップインタビューでは,高いリソース利用性とプロバイダーモチベーションが示されましたが,意識とアクセシビリティは持続可能性のためにさらなる適応を必要としています.
結論:
- 医療提供者は,早期のCKD患者に対する自己管理のサポートを実施する用意があることを示しています.
- 理論に基づいたアプローチと戦略的実施は 患者の自己管理資源の持続可能性を 支援する上で有効です
- 患者支援ツールを臨床実践に成功させるには 適応した実施戦略が不可欠です
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