改变与药物相关的信念:随机对照试验的系统审查和元分析
Elizabeth Sheils1, William Tillett1, Delyth James2
1Department of Life Sciences: Pharmacy and Pharmacology, University of Bath.
概括
通过各种干预来改变药物信仰是可能的. 需要进行研究,以优化行为改变技术,以改善药物坚持和患者的结果.
科学领域:
- 行为科学 行为科学
- 健康心理学 心理健康心理学
- 临床药房 临床药房
背景情况:
- 药物信仰显著影响患者的坚持和健康结果.
- 目前的证据对修改这些信念的有效策略缺乏明确性.
研究的目的:
- 系统地审查和分析旨在修改药物相关信念的干预措施的有效性.
- 识别与药物信仰变化相关的特定行为改变技术 (BCT).
- 探索这些干预措施对药物坚持的影响.
主要方法:
- 56项随机对照试验的系统综述和元分析,涉及8714名参与者.
- 提取关于行为改变技术 (BCT),信念测量和患者特征的数据.
- 进行元分析以量化干预措施对药物信仰和服药的影响.
主要成果:
- 干预表明,在增强对药物需要/益处的信念方面,干预具有小到中等的影响 (赫奇斯g = .362) 和减少担忧 (赫奇斯g = -.435).
- 在干预措施中观察到更高的效果大小,这些干预措施也改善了药物坚持.
- 解决问题,关于健康后果的信息和社会支持是常见的BCT;14个BCT显著影响了需求/利益信念,四个影响了关注信念.
结论:
- 使用各种干预措施和BCT,可以有效地修改药物信仰.
- 进一步的研究应侧重于将BCT定制为特定条件,以改善药物信仰和药物坚持.
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