在社区神经病学实践中,基于移动应用程序的偏头痛交互式护理计划的可行性和可用性:开发和试点实施研究
Nathan P Young1,2, Jennifer L Ridgeway3, Tufia C Haddad4,5
1Department of Neurology, Mayo Clinic, Rochester, MN, United States.
JMIR formative research
|October 5, 2023
概括
一个新的移动健康应用程序,即偏头痛交互式护理计划 (MICP),改善了患者的治疗结果和偏头痛患者的满意度. 这种数字工具减少了面对面的访问,而不增加护理团队的工作量,提高了获得护理的机会.
科学领域:
- 神经学 神经学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 偏头痛显著影响生活质量和医疗保健利用率.
- 获得基于证据的偏头痛护理的有限机会加剧了患者的挑战.
- 移动健康 (mHealth) 应用程序为改善患者教育和自我管理提供了潜力.
研究的目的:
- 推出一个新的电子健康记录集成的移动应用程序,即偏头痛交互式护理计划 (MICP).
- 评估MICP在社区神经病学环境中的可行性,可用性和对护理团队的影响.
主要方法:
- 一项单臂观察性研究评估了171名连续入学者的可用性.
- 患者随机分配到有或没有MICP的常规护理.
- 通过下游医疗保健利用 (访问,电话,消息) 来衡量可行性.
主要成果:
- 74.3%的患者完成了至少一个MICP任务.
- 头痛频率下降,患者满意度显著增加.
- 与没有增加沟通的对照组相比,MICP队列的面对面访问较少 (10.7%),而对照组 (42%).
结论:
- 在社区神经病学实践中成功实施了EHR集成的MICP.
- 通过减少面对面的访问,MICP可以改善患者获得护理的机会,而不会增加临床医生的工作负担.
- 需要进一步的研究,包括多样化的患者输入和初级保健设置,以优化MICP参与和影响.
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