远程患者报告结果和活动监测,以改善患者与临床医生的关于症状和功能状态的沟通:一项随机对照试验

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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

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Ravi B Parikh^1,2,3,4, Emily Schriver^5,6, William J Ferrell^2,3

¹Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.

JCO oncology practice

|October 10, 2023

概括

常规收集患者生成的健康数据 (PGHD) 并没有改善瘤团队对患者症状或功能的理解. 患者报告了高度的理解,但这与对照组相似.

科学领域:

在瘤学瘤学.
数字健康数字健康
患者报告的结果

背景情况:

常规收集患者生成的健康数据 (PGHD) 可以帮助识别患者衰退.
将远程PGHD与患者参与策略相结合,可能会增强患者和瘤团队之间的沟通.

研究的目的:

评估使用远程PGHD采集和患者推动的干预措施对症状和功能状态理解的影响.
评估PROStep干预对患者对其瘤团队对其健康状况的理解的看法的影响.

主要方法:

一个三臂随机对照试验,涉及108名晚期胃肠道和肺癌患者接受化疗.
干预组每周通过基于文本的症状调查和通过可穿戴加速度计 (PROStep) 进行活动监测.
一只手臂接受了症状讨论的额外提示;对照组没有接受PROStep.

主要成果:

在对照组和干预组之间,患者报告的瘤团队对症状或功能状态的理解没有显著差异.
在干预组中,患者遵守症状报告率为64%,活动监测率为53%.
患者报告说,佩戴加速度计和完成调查的负担较低.

结论:

虽然PROStep干预中的患者报告了对症状和功能状态的高度理解,但这与对照组没有什么不同.
整合远程PGHD的PROStep干预措施并没有显著改善患者对瘤团队理解的看法.
可能需要进一步的研究来优化数字健康干预措施,以改善先进的癌症护理中患者和临床医生的沟通.

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