为患有慢性脏疾病的人提供多通道数字和电话支持计划:可行性随机对照试验
Riley Elizabeth Reston1,2, Fergus J Caskey3,4, Barnaby Hole3,4
1Atlantis Health, London, United Kingdom.
JMIR formative research
|November 23, 2023
概括
对于慢性病 (CKD) 患者来说,数字自我管理计划是可行的和可以接受的. 改善患者获取和针对正确的受众是未来干预的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 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:
- 慢性病 (CKD) 是一种进展性疾病,对管理建议的遵守程度较低.
- 需要有效的干预措施来减缓CKD的进展,并预防末期病.
- 患者的自我管理和坚持是有效管理CKD的关键.
研究的目的:
- 评估CKD患者数字自我管理支持和坚持计划的可行性.
- 评估CareKnowDo程序与Patient View (PV) 的集成,这是一个面向患者的电子健康记录.
- 确定数字干预的可接受性和潜在有效性.
主要方法:
- 一个务实的可行性试点随机对照试验,涉及61名CKD患者.
- 两只手臂:CareKnowDo数字/电话支持与PV集成,与标准护理 (仅PV) 相比.
- 主要结果集中在可行性上:招聘率,退学率,以及与临床和心理社会措施的关联探索.
主要成果:
- 在符合基本标准的查患者中,招募率为19.32%.
- 38%的患者完成了6个月的随访调查.
- 对治疗疗效的更高信念和对CKD的感知理解与较低的血压有关.
结论:
- 对于CKD患者来说,基于数字和护士呼叫的程序是可行的和可以接受的.
- 未来的试验应专注于优化目标受众的选择和节目可访问性.
- 改善患者的参与和理解,可以积极影响CKD管理.
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