优化适应性逐步护理干预措施以改变成年人的健康行为:系统性审查
McKenzie K Roddy1,2, Angela F Pfammatter3, Lindsay S Mayberry1,2
1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Journal of clinical and translational science
|September 25, 2023
概括
适应性渐进式护理干预措施对慢性疾病的健康行为改变有希望. 目前的研究重点是为不响应者量身定制治疗,但结果显示适应性干预和标准护理之间的差异很小.
科学领域:
- 改变健康行为干预措施
- 慢性疾病管理 慢性疾病管理
- 适应性治疗策略 适应性治疗策略
背景情况:
- 慢性疾病对美国人来说是一个很大的负担.
- 对于慢性疾病而言,现有的健康行为改变干预措施的平均有效性有限.
- 适应性逐步护理干预提供了个性化的治疗量身定制方法.
研究的目的:
- 系统地审查评估慢性疾病成年人健康行为变化适应性逐步护理干预措施的研究.
- 确定适应性干预研究中常见的针对性健康行为和采用的方法.
- 评估当前适应性阶段性护理干预措施的有效性.
主要方法:
- 系统审查已完成的研究和研究方案.
- 针对慢性疾病的成年人健康行为变化的适应性逐步护理干预措施的识别.
- 对定制策略的分析,重点是使用SMART和SRT对非响应者进行中间定制.
主要成果:
- 确定了9项已完成的研究和13项协议.
- 药物使用,体重控制和戒烟是最常见的健康行为目标.
- 已完成的研究表明,适应性干预之间的差异很小,治疗响应者和不响应者之间的差异很小.
结论:
- 随着识别的协议的发布,需要进一步的研究.
- 未来的研究应该探索基线量身定制,扩展到其他行为和人群,并考虑上下文因素.
- 调查治疗响应者的缓慢干预措施可以提高适应性护理的有效性.
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