使用干预映射方法来改善对多发性硬化症疾病修饰治疗的坚持
Efrat Neter1,2, Ariel Miller3
1From the Behavioral Sciences Department, Ruppin Academic Center, Emeq Hefer, Israel (EN).
International journal of MS care
|September 18, 2023
概括
为多发性硬化症 (MS) 患者开发干预措施可以提高对疾病修饰治疗 (DMT) 的坚持. 这种个性化方法解决了个体不坚持的原因,旨在提高治疗的有效性.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
- 健康 行为 科学 科学
背景情况:
- 在多发性硬化症 (MS) 患者中观察到不坚持疾病修饰治疗 (DMT) 的高率,影响治疗疗效.
- 针对专门为多发性硬化症患者设计的干预措施,以改善DMT坚持存在有限的研究.
- 这项研究的重点是为MS的非附属个体开发有针对性的干预措施.
研究的目的:
- 开发一种旨在改善多发性硬化症患者遵守DMT的干预措施.
- 创建一个个性化的干预,基于已识别的不遵守的原因.
主要方法:
- 干预开发利用了干预映射方法,文献评论和MS患者的意见.
- 健康行为理论,特别是感知和实用性方法,为干预内容提供了信息.
- 为了从目标人群中收集经验证据,进行了观察性"需求评估" (n=186).
主要成果:
- 设计了一个个性化的干预措施,由神经病学家和心理学家顺序执行.
- 关键干预组件包括精神教育,应对不良影响的应对策略,修改无助的信念,增强自我效能和记忆辅助.
- 激励面试被整合到干预交付中.
结论:
- 干预映射有效地开发了一个基于理论和经验数据的干预措施.
- 干预开发过程确定了MS患者不坚持的决定因素.
- 需要进一步的研究来评估这种干预措施在改善MS DMT遵守方面的有效性.
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