通过数字生活方式干预改善自我管理行为:内部试点研究
Courtney J Lightfoot1,2, Thomas J Wilkinson1,2,3, Noemi Vadaszy1,2
1Leicester Kidney Lifestyle Team, Department of Population Health Sciences, University of Leicester, Leicester, UK.
Journal of renal care
|January 31, 2024
概括
这项试点研究表明,慢性病 (CKD) 的数字自我管理计划是可行的和可以接受的. 虚拟随机对照试验 (RCT) 符合进展标准,为最终研究铺平了道路.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 数字健康数字健康
- 临床试验 临床试验
背景情况:
- 自主管理对于有效的慢性病 (CKD) 护理至关重要.
- 一个数字自我管理计划"我的脏和我" (MK&M) 进行了试点.
- 这项研究评估了MK&M计划的多中心随机对照试验 (RCT) 的可行性和可接受性.
研究的目的:
- 评估虚拟交付RCT的可行性和可接受性,用于数字CKD自我管理程序.
- 评估招聘,随机化,干预激活和保留率.
- 收集参与者的反,以改进协议.
主要方法:
- 在英格兰进行了为期10周的内部试点多中心RCT,涉及60名参与者 (CKD阶段3-4).
- 参与者几乎被招募并随机分为2:1到MK&M干预组或对照组.
- 根据预先规定的标准评估可行性和可接受性,进行半结构面试以获得定性见解.
主要成果:
- 所有的进展标准都得到了满足,这表明最终RCT的可行性.
- 41名参与者被随机分配到MK&M和19名控制组;62%完成了干预后的措施.
- 面试显示,他们对虚拟招聘,随机化和在线评估感到满意,并提出了改进建议.
结论:
- 内部试点成功地证明了数字CKD自我管理计划的虚拟实验RCT的可行性和可接受性.
- 符合进展标准,支持向最终试验过渡.
- 确定了需要改进的领域,导致了协议修正,以加强试验交付.
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