数字疗法现实世界证据框架:指导基于证据的数字疗法设计,开发,测试和监测的方法
Meelim Kim1,2,3,4, Kevin Patrick1,3, Camille Nebeker1,3,4
1Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, United States.
一个新的框架指导了数字疗法 (DTx) 的发展,为证据生成提供了一个结构化的方法. 这个框架整合了整个DTx生命周期的现实数据,以改善健康结果.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 卫生技术评估 卫生技术评估
- 基于证据的医学是基于证据的医学.
背景情况:
- 数字疗法 (DTx) 提供可扩展和可访问的健康解决方案.
- DTx开发是复杂的,涉及多个相互作用的组件和自适应算法.
- 现有的框架缺乏对整个生命周期的DTx证据生产的全面指导.
研究的目的:
- 为数字疗法 (DTx) 提出一种用于生成现实世界证据 (RWE) 的新框架.
- 为DTx开发和部署提供实用,代和以里程碑为导向的方法.
- 引导利益相关者创建和实施推进个人和人口健康的DTx.
主要方法:
- 一个四阶段行为干预开发模型的调整.
- 在整个DTx开发和使用生命周期中整合真实世界数据 (RWD).
- 纳入针对DTx.独特特征的特定调整.
主要成果:
- 提出了一个全面的DTx RWE框架.
- 该框架通过结合RWD,确保忠实于用户需求.
- 它支持从初步开发到长期使用的证据生成.
结论:
- 拟议的DTx RWE框架解决了对整个生命周期的证据生产的需求.
- 它适用于各种利益相关者,包括工业,医疗保健,公共卫生,学术界,资助者和监管机构.
- 该框架旨在通过DTx.提升个人和人口健康的进步.
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