移动电话短信支持高血压成年人遵守治疗 (SMS-Text Adherence Support [StAR]):单盲随机试验
Kirsten Bobrow1, Andrew J Farmer2, David Springer1
1From Institute of Biomedical Engineering, Department of Engineering Science (K.B., D.S., T.B., L.T.) and Nuffield Department of Primary Care Health Sciences (K.B., A.J.F., M.S., L.-M.Y.), University of Oxford, UK; Chronic Disease Initiative for Africa, Cape Town, South Africa (K.B., K.S., N.L.); Division of Nephrology and Hypertension, Groote Schuur Hospital, Cape Town, South Africa (B.R.); University of Cape Town, South Africa (B.R.); Western Cape Province Department of Health, Cape Town, South Africa (M.N.); and Division of Diabetic Medicine and Endocrinology, Department of Medicine, University of Cape Town, South Africa (N.L., K.B.).
移动电话短信显示高血压患者的缩血压略有降低. 与常规护理相比,交互式短信并没有显著增加这种效果.
科学领域:
- 公共卫生
- 数字卫生干预措施
- 心血管疾病管理
背景情况:
- 治疗高血压需要坚持治疗.
- 基于手机的干预提供了一个可扩展的方法来支持遵守.
- 自动短信系统 (SMS) 的短信可以提供坚持支持.
研究的目的:
- 评估自动化短信对血压控制的影响.
- 为了比较仅为信息的SMS,交互式SMS和高血压管理的通常护理.
- 在现实环境中评估数字化支持的有效性.
主要方法:
- 在南非实用,单盲,三臂随机试验 (StAR研究).
- 1372名高血压患者被分配到仅提供信息的SMS,交互式SMS或通常的护理.
- 主要结论:12个月内静脉压变化,用振荡计测量.
主要成果:
- 与常规治疗相比,仅提供信息的SMS导致了平均调整后的缩血压降低 - 2.2 mm Hg.
- 与通常治疗相比,交互式SMS显示平均调整后降低了-1. 6 mm Hg.
- 与通常治疗相比,两组SMS的血压<140/ 90毫米升的几率更高.
结论:
- 自动化SMS依附提供了小但显著的血压降低.
- 交互式短信对血压控制没有比仅提供信息的短信更大的影响.
- 基于SMS的干预措施是支持一般门诊患者高血压管理的可行工具.
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