数字药丸系统的形成性感知,以测量对心力衰竭药疗的坚持:混合方法研究研究
Peter R Chai1,2,3,4, Jenson J Kaithamattam1, Michelle Chung1
1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, United States.
JMIR cardio
|February 15, 2024
概括
数字药丸系统 (DPS) 显示出对监测心力衰竭 (HF) 药物服药的承诺. 患者认为DPS是可以接受的,但成本和隐私等障碍需要解决,以改善HF管理.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 药物治疗 坚持药物治疗
背景情况:
- 心力衰竭 (HF) 影响数百万人,药物治疗的坚持对于管理至关重要.
- 当前的坚持措施 (补充数据,自我报告) 在检测次优坚持方面存在局限性.
- 数字药丸系统 (DPS) 提供实时摄入监测,这是HF的新方法.
研究的目的:
- 探索患者促进者和关于DPS技术的障碍,以促进HF药物治疗的坚持.
主要方法:
- 半结构化的定性访谈和20名高温患者的定量评估.
- 探索可接受性,使用DPS的意愿,以及感知到的障碍.
- 使用NVivo软件对定性数据进行主题分析.
主要成果:
- 60%的参与者愿意使用DPS用于HF药物坚持.
- DPS被认为对问责制有用;障碍包括技术,成本和隐私.
- 患者希望与提供者共享数据,并提供可定制的提醒.
结论:
- 肝炎患者发现DPS是可以接受的,并且对监测药物坚持是有用的.
- 实时摄入数据可以增强坚持咨询和行为干预.
- 解决障碍是优化DPSHF坚持管理的关键.
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