数字行动计划 (Web App) 管理喘恶化:随机对照试验
Nicole Beydon1, Camille Taillé2, Harriet Corvol3
1Unité Fonctionnelle de Physiologie-Explorations Fonctionnelles Respiratoires, Institut National de la Santé et de la Recherche Médicale 938, Centre de Recherche Saint Antoine, Hôpital Armand Trousseau, Assistance Publique Hôpitaux de Paris, F-75012, Paris, France.
Journal of medical Internet research
|May 31, 2023
概括
与书面行动计划 (WAP) 相结合的数字行动计划 (DAP) 与单独的WAP相比,并没有减少非计划性喘医疗接触. 患者使用WAP的频率高于DAP.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 数字健康数字健康
- 临床试验 临床试验
背景情况:
- 建议制定书面行动计划 (WAP) 来管理喘恶化.
- 该研究调查了与WAP集成的数字行动计划 (DAP) 的有效性.
研究的目的:
- 为了比较DAP (通过智能手机应用程序) 加上WAP与WAP单独对非计划医疗接触 (UMC) 的影响.
- 评估数字和书面喘行动计划的使用模式和主观实用性.
主要方法:
- 一个随机的多中心试验,涉及儿童和成年人,有严重喘恶化病史.
- 参与者被分配到WAP组或DAP+WAP组.
- 在12个月内,通过采访收集了有关恶化,UMC和计划使用的数据.
主要成果:
- 在DAP+WAP组 (0.37/年) 和WAP组 (0.31/年) 之间,UMC没有显著差异.
- 参与者在经历恶化时更有可能使用WAP (51%),而不是DAP (24%).
- 对实用性和可用性的主观评估在计划之间没有显著差异.
结论:
- 与书面行动计划 (WAP) 相比,数字行动计划 (DAP) 的利用不足.
- 添加DAP并没有减少用于喘管理的非计划医疗接触.
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