一个电子共享决策应用程序,以改善喘结果:一个随机对照试验
Deborah L Lee1, John W Hammond1, Kelsey Finkel2
1Department of Internal Medicine, Division of Allergy/Clinical Immunology, University of Michigan, Ann Arbor, Mich.
概括
这项研究表明,电子喘共享决策 (SDM) 应用程序改善了患者的满意度和参与护理. 行动应用程序有效地解决了患者的担忧,增强了喘管理的SDM过程.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 患者为中心的护理
- 喘管理的管理
背景情况:
- 通过整合患者的价值观和偏好,共享决策 (SDM) 对于优化喘管理至关重要.
- 现有的喘SDM工具主要集中在药物选择上,可能会忽视护理的其他关键方面.
研究的目的:
- 评估ACTION (喘治疗中的积极对话共享决策) 应用程序的可用性,可接受性和初步有效性.
- 该应用程序旨在解决患者在喘护理中的与药物,非药物因素和COVID-19相关的担忧.
主要方法:
- 一项试点研究将81名喘患者随机分配到对照组或ACTION应用程序干预组.
- 参与者完成了ACTION应用程序的临床前访问,并与提供者分享了回复. 主要结局包括患者满意度和SDM质量.
- 通过与ACTION应用用户 (n=9) 和提供商 (n=5) 的虚拟焦点组收集定性数据,然后进行比较分析.
主要成果:
- 行动应用程序组报告了更高的同意,即COVID-19的担忧得到了充分的解决 (P=.03).
- 虽然SDM问卷的整体得分没有达到统计学意义,但ACTION应用程序组对医生参与决策 (P=.05) 和彻底考虑选择 (P=.03) 的意见更为一致.
- 焦点小组透露,ACTION应用程序被认为是实用和有效的,以制定以患者为中心的议程.
结论:
- 对喘的电子SDM应用程序,包括患者对药物,非药物和COVID-19问题的偏好,得到了很好的接受.
- 这个数字工具显示了提高患者满意度和喘护理共享决策质量的潜力.
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