在语言强化中对不坚持的风险进行分层化 缺食症康复 语言强化
Kailey Vitale1,2,3,4, W Ryan Powell5, Brittany N Krekeler6,7,8
1Geriatric Research Education and Clinical Center, William S. Middleton Memorial Veterans Hospital, Madison, WI.
American journal of speech-language pathology
|August 11, 2023
概括
这项研究开发了一种风险分层工具,以预测不坚持治疗失症的情况. 该算法识别了高风险群体,为接受语言强化练习的患者提供了有针对性的支持.
科学领域:
- 临床康复科学 临床康复科学
- 吞障碍 吞障碍 吞障碍
- 患者坚持研究的研究.
背景情况:
- 基于运动的消化障碍治疗可以改善吞.
- 不遵守治疗方案的预测因素尚未得到充分了解.
- 语言强化是难听症康复的关键组成部分.
研究的目的:
- 创建一个算法来分层的不合规风险.
- 为了确定患有不完全完成食障碍治疗的风险患者群体.
- 为改善治疗坚持性提供有针对性的干预信息.
主要方法:
- 使用递归分区来构建分类树.
- 分析了社会人口统计学,临床和功能指标.
- 不遵守被定义为错过≥2次后续会议或84天内最后一次会议.
主要成果:
- 在243名退伍军人中,整体不遵守率为38%.
- 分类树显示出良好的区分 (C-统计 = 0.74).
- 五个变量 (诊断,婚姻状况,PAS得分,种族/种族,年龄) 定义了八个风险组:高风险 (69%-77%),中等风险 (27%-33%),低风险 (≤13%-22%).
结论:
- 鉴定了不同风险群体的不坚持功能障碍康复.
- 需要进一步的研究来了解不坚持的驱动因素.
- 一个经过验证的风险分层工具可以指导有针对性的患者支持,并改善患者的坚持.
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