基于移动和网络的合作干预,以改善远程访问疼痛和创伤后应激障碍症状管理:随机对照试验中的招募和磨损
Jolie N Haun1,2, Hari H Venkatachalam1, Christopher A Fowler1,3
1James A. Haley Veterans' Hospital, Research Service, Tampa, FL, United States.
Journal of medical Internet research
|October 3, 2023
概括
这项研究强调了招募患有慢性疼痛和PTSD的退伍军人进行远程补充性健康干预的挑战. 提高数字可访问性和人与人之间的互动可以减少这些重要退伍军人健康计划的消耗.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 心理健康干预 心理健康干预
背景情况:
- 对退伍军人来说,获得治疗疼痛和PTSD的非药物干预措施至关重要.
- 补充和整合性健康 (CIH) 干预措施通过远程医疗提供了可访问的症状管理.
- 任务重新连接 (MR) 是一个远程的,自我指导的干预,向退伍军人和他们的合作伙伴教授CIH技能.
研究的目的:
- 描述在远程随机对照试验 (RCT) 中的招聘,安装和退出.
- 评估对退伍军人患有并发性慢性疼痛和PTSD的自我指导的移动和基于网络的干预措施.
- 评估干预措施的有效性,并与合作伙伴参与.
主要方法:
- 一个混合方法,多站点等候名单控制RCT,涉及364个资深合作伙伴.
- 完全远程干预的招聘和安装流程.
- 与10名退伍军人和他们的伴侣进行了定性 attrition 访谈.
主要成果:
- 26.6%的被招募者 (97/364) 由于伴侣退出,技术困难或健康问题而失败.
- 磨损受访者提到对干预的误解,邮寄材料的混以及个人情况的竞争.
- 报名后的消耗与伴侣退出,健康问题和技术挑战有关.
结论:
- 经验教训为医疗复杂的退伍军人提供了远程,自我指导的CIH干预的最佳实践.
- 解决人口和症状相关的进入障碍是成功招聘和入学的关键.
- 在登陆期间改善数字可访问性和人类互动可以减少远程退伍军人健康计划的消耗.
关键词:
一个CIH的CIH是一个CIH.创伤后应激障碍 (PTSD) 是一种磨损 磨损 磨损 磨损 是一种慢性疼痛是一种慢性疼痛.迪亚德 (Dyad) 迪亚德 (Dyad) 是一个词.移动健康的移动健康疼痛 疼痛 疼痛 疼痛随机对照试验是随机对照试验.远程干预的方法是远程干预.退伍军人 退伍军人 退伍军人 退伍军人更多相关视频
06:13Author Spotlight: Insights into Remotely Supervised Neuromodulation Procedure for Phantom Limb Pain
Published on: March 1, 2024
959
12:22Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
Published on: July 1, 2015
23.6K
相关概念视频
01:27Post-traumatic Stress Disorder
49
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
49
01:24Treatment Strategies for Psychological Disorders
159
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
159
01:26Stress Prevention and Stress Management Techniques IV
45
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
45