以用户为中心的设计,开发自动化短消息服务,为风湿性心脏病患者提供支持,并进行二次抗生素预防
Ndate Fall1, Francis Odong2, Jenipher Thembo2
1Cincinnati Children's Hospital Medical Center Cincinnati OH.
Journal of the American Heart Association
|January 16, 2024
概括
这项研究开发了一种自动短消息服务 (SMS) 干预措施,以改善风湿性心脏病患者的二次抗生素预防的坚持. 短信干预证明是可行的和可接受的,患者参与度很高,尽管在这个试点中没有观察到坚持的显著差异.
科学领域:
- 数字健康数字健康
- 心血管医学 心血管医学
- 公共卫生 公共卫生
背景情况:
- 风湿性心脏病 (RHD) 的管理需要持续的二次预防.
- 活跃社区案件管理平台 (ACCM P) 是RHD案件管理的数字工具.
- 需要自动干预来支持患者坚持治疗.
研究的目的:
- 设计和试点一个自动短消息服务 (SMS) 干预措施,用于RHD患者的二次抗生素预防遵守.
- 评估SMS技术在RHD护理中的可行性和可接受性.
- 评估患者与基于短信的支持系统的参与.
主要方法:
- 开发了一个信息库 (n=43) 用于使用以用户为中心的设计进行二次抗生素预防.
- 在乌干达北部的50名RHD患者中通过TextIT试点SMS干预,持续两个月.
- 随机将患者分为标准护理 (ACCM P) 和标准护理加SMS干预组.
主要成果:
- 标准护理和SMS干预组之间的治疗坚持或接受度没有显著差异.
- 参与者对短信干预的反应是积极的,75%的参与者回应了短信.
- 25%的短信接收者通过打电话给研究人员确认收到短信,表明参与.
结论:
- 成功开发了一个SMS信息库,以支持RHD中二次抗生素预防的坚持.
- 在RHD护理管理中展示了使用SMS技术的可行性和可接受性.
- 未来的研究将将SMS整合到ACCM P中进行更大规模的研究,以减少医疗保健工作者的负担并提高遵守率.
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