收集吸烟数据的数字推广策略的有效性:实用随机试验
Lauren E Kearney1, Emily Jansen2, Hasmeena Kathuria1
1The Pulmonary Center, Boston University, Boston, MA, United States.
JMIR formative research
|February 9, 2024
概括
通过短信文本调查,患者生成的健康数据显著改善了用于肺癌查的吸烟史收集. 收益或损失信息框架增加了患者响应率,以获得更好的临床护理.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 电子医疗记录 (EMR) 中不准确的吸烟史阻碍了肺癌查 (LCS) 和戒烟干预措施.
- 患者生成的健康数据 (PGHD) 为记录吸烟史提供了一种新的方法.
- 不同的PGHD方法的比较有效性尚未得到充分证实.
研究的目的:
- 评估EMR门户问卷和SMS短信调查的有效性,以收集患者吸烟史.
- 在短信调查中比较不同的消息框架 (有用性,收益,损失).
- 评估PGHD吸烟史的完整性和准确性.
主要方法:
- 质量改善干预随机分配患者 (50-80岁,烟草使用者) 到EMR门户或短信文本调查.
- 短信调查利用行为经济学框架 (收益,损失,帮助) 和推动消息.
- 主要结果包括响应率,数据的完整性和与EMR数据的一致性.
主要成果:
- 短信文本调查的响应率 (19.1%) 比门户调查问卷 (6.9%) 高.
- 在短信调查中,收益和损失框架比帮助框架产生了更好的患者反应.
- 与门户和EMR数据相比,来自SMS调查的PGHD导致LCS资格确定更完整的吸烟史.
结论:
- 吸烟历史记录 (PGHD),特别是通过带有收益或损失框架的短信文本调查,是收集全面吸烟历史记录的可行和有效方法.
- 优化基于短信的数据收集对预防性护理,LCS和戒烟有广泛的影响.
- 这种方法提高了患者的参与度,并提高了针对性干预的临床数据的质量.
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