针对慢性病患者的基于视频的教育干预:系统性审查
Nikita Deshpande1, Meng Wu2, Colleen Kelly3
1Pritzker School of Medicine, University of Chicago, Chicago, IL, United States.
Journal of medical Internet research
|July 19, 2023
概括
基于视频的工具有效地提高了患者对慢性疾病的知识. 然而,它们对疾病严重程度和医疗保健利用的影响不那么一致,需要进一步研究以优化,公平的患者教育.
科学领域:
- 医疗信息学 医疗信息学
- 医学教育 医学教育
- 数字健康数字健康
背景情况:
- 由于时间限制,医疗保健专业人员越来越多地使用技术进行患者教育.
- 基于视频的工具对慢性疾病自我管理的有效性尚未得到充分证实.
研究的目的:
- 系统地审查针对慢性病患者的基于视频的教育工具的文献.
- 评估这些工具对过程和结果措施的影响.
主要方法:
- 在2021年10月之前对CINAHL和PubMed数据库进行系统审查.
- 包括针对患有特定慢性疾病的成年人基于视频的自我管理的干预研究.
- 使用Cochrane偏差风险工具进行数据提取和偏差评估;合成在Stata SE.
主要成果:
- 包括59项研究,主要是优越性随机对照试验 (RCT).
- 视频工具最有效地提高了患者的知识 (75%),其次是自我效能 (52%) 和健康行为 (56%).
- 疾病严重程度 (33%) 和医疗保健使用 (39%) 的改善不太一致;许多研究具有中度至高偏差风险.
结论:
- 强有力的证据支持基于视频的工具,以提高慢性疾病患者的知识.
- 对疾病严重程度和医疗保健使用的有效性不那么一致.
- 需要进一步的研究,以优化视频干预,以满足不同数字素养水平,确保公平的结果.
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