将技术纳入与年长的悲伤成年人的研究:从进行基于互联网的随机对照试验中吸取的经验教训
Thandi Lyew1, Joseph Kazan2, Khusbu Patel2
1Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA.
Internet interventions
|December 15, 2023
概括
为老年人实施数字健康干预措施需要灵活性. 这项研究适应了招聘,同意和技术培训的策略,在一个虚拟的随机对照试验中成功地应对了悲伤老人的抑郁症的挑战.
科学领域:
- 老年学是指老年学的学科.
- 数字健康数字健康
- 临床试验 临床试验
背景情况:
- 数字健康干预 (DHIs) 由于用户,技术和研究团队的互动,引发了实施挑战.
- 老年人,特别是那些经历了急性悲伤的人,需要针对基于技术的健康研究采取量身定制的方法.
研究的目的:
- 描述从实施基于互联网的随机对照试验 (RCT) 来减少急性丧失老年人的抑郁症所吸取的经验教训.
- 在技术驱动的研究中识别和解决招聘和留住老年人的挑战.
主要方法:
- 一项基于互联网的RCT (丧偶老人的生活方式 - WELL) 将DHI与60岁以上最近失去配偶的成年人抑郁症症状的增强常规护理 (EUC) 相比较.
- 参与者使用个人设备每天两次自我监测睡眠,饮食和活动,每周接受虚拟健康指导.
- 所有的研究程序都在虚拟进行,每周就方法挑战进行讨论.
主要成果:
- 关键的挑战包括虚拟招聘,获得知情同意,以及培训老年人使用技术.
- 解决方案包括重新设计知情同意过程,使用用户友好的小册子,并纳入用户反来完善干预协议.
- 灵活性和与程序员的跨学科合作对于将技术适应用户需求至关重要.
结论:
- 通过适应性策略和协作,在不损害内部有效性的情况下解决了实施挑战.
- 这些发现提供了改善在技术研究中招聘和留住老年人的策略.
- 通过仔细规划和以用户为中心的适应,在老年人群中成功实施DHI是可行的.
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