青年对移动健康遵守干预措施的观点:以支持性问责制模型为指导的定性研究
Caitlin S Sayegh1, Ellen Iverson2, Karen K MacDonell3
1Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, USA; Division of General Pediatrics, Children's Hospital Los Angeles, USA; Department of Pediatrics, University of Southern California Keck School of Medicine, USA.
Patient education and counseling
|November 23, 2023
概括
人类辅导和自动提醒都改善了年轻人对药物的坚持. 辅导更具吸引力,促进了例行程序和个人联系,而自动提醒则提供了灵活性,突出了个人偏好在坚持干预中的重要性.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 药物坚持研究 药物坚持研究
- 青少年的健康行为
背景情况:
- 药物坚持对于管理青少年的慢性疾病至关重要.
- 移动卫生干预提供了一个有希望的途径来支持遵守.
- 了解年轻人对坚持支持的偏好对于有效的干预设计至关重要.
研究的目的:
- 探索年轻人对远程人类指导与药物坚持自动提醒的观点.
- 应用支持性问责制模型来理解与不同遵守支持模式的参与.
主要方法:
- 对22名年轻人的半结构面试进行主题分析.
- 12周的移动健康干预包括远程指导和自动提醒.
主要成果:
- 人类辅导和自动提醒都改善了药物坚持.
- 人类辅导培养了日常,动机和个人联系,导致了更高的参与度.
- 自动提醒不那么吸引人,但提供了灵活性; 短信比电话更受青.
- 参与者对沟通方式和支持水平的个人偏好各不相同.
结论:
- 人类辅导与自动提醒相比,是一种更有效,更有吸引力的干预措施,可以帮助年轻人遵守药物治疗.
- 虽然电话可以提高支持性问责制,但它们比短信带来更大的可用性障碍.
- 干预开发人员应该优先考虑与人类支持者建立个人联系的机会,并适应年轻人的各种沟通偏好.
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