在家进行认知偏差修改培训,以减少疑似急性冠状动脉综合征患者的不适应性恐惧:试点随机临床试验
David Lopez-Veneros1, Robin Cumella1, Ian M Kronish1
1Department of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY, 10032, USA.
Pilot and feasibility studies
|January 11, 2024
概括
认知偏差修改训练 (CBMT) 显示出降低疑似急性冠状动脉综合征 (ACS) 患者复发恐惧的潜力. 为了获得最佳的患者体验,需要进一步完善平板电脑的可用性.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 被怀疑患有急性冠状动脉综合征 (ACS) 的患者通常会对复发感到恐惧,这会影响心理健康和坚持.
- 认知偏差修改培训 (CBMT) 是一种可访问的干预措施,有效减少其他患者群体的恐惧.
- 对心脏特异性CBMT的可行性对于ACS评估后感知威胁增加的患者来说是必要的.
研究的目的:
- 评估基于药片的CBMT干预措施对疑似ACS患者的可行性和可接受性.
- 评估CBMT干预的入学率,学率,合规性和用户体验.
主要方法:
- 一个双盲可行性试验,涉及疑似ACS和升高威胁感知的患者.
- 随机分配到四周,八次药片递送的CBMT或虚假注意力控制组.
- 可行性结果包括入学,学,合规性,可接受性,可用性和任务参与.
主要成果:
- 超过一半 (53.1%) 符合条件的患者被录取;7.7%的人退学.
- 大多数返回平板电脑的参与者 (95%) 完成了任务,报告使用方便和愉快.
- 一些患者面临着平板电脑技术或处理速度的挑战,这表明需要改进用户体验.
结论:
- 与心脏相关的CBMT似乎是疑似ACS患者的有希望和普遍可接受的干预措施.
- 这项干预显示出管理心脏相关威胁感知的潜力,类似于对复发的恐惧.
- 建议进一步优化基于平板电脑干预的用户体验,以提高可用性.
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