患者与移动健康家庭螺旋计干预的参与和观点:混合方法研究研究
Andrew W Liu1, William Brown Iii1,2,3,4, Ndubuisi E Madu1
1Center for Digital Health Innovation, University of California, San Francisco, CA, United States.
JMIR mHealth and uHealth
|March 20, 2024
概括
移动健康 (mHealth) 中的远程患者监测 (RPM) 显示,在一年多前移植的肺移植患者或非英语使用者中,参与度较低. 提高个性化和透明度可以减少消耗.
科学领域:
- 数字健康数字健康
- 移植医学 移植医学 移植医学
- 患者参与 患者参与
背景情况:
- 移动健康 (mHealth) 远程患者监测 (RPM) 计划中的患者消耗减少了效益,并突出了采用和使用的系统差异.
- 了解真实世界的患者体验,特别是那些停止使用的人,对于提高mHealth价值和减少消耗至关重要.
研究的目的:
- 为了调查患者参与和经验在mHealth RPM干预专门为肺移植接受者设计.
- 确定影响患者参与的因素和阻碍患者持续使用的障碍.
主要方法:
- 一组601名肺移植接受者被纳入mHealth RPM计划,用于监测肺功能.
- 用多变量逻辑和线性回归分析来确定患者参与的预测因素.
- 与初次使用后脱离的患者进行了半结构化采访,以探索他们的经验并确定共同的主题.
主要成果:
- 一年前移植的患者的参与率,数据提交率和检查清单完成率显著降低.
- 与英语说话者相比,非英语说话者表现出相对较低的参与率.
- 采访的主题包括设备挑战,沟通问题,需要个性化反,以及关于数据使用和聊天功能缺乏清晰度.
结论:
- 改善为肺移植患者提供护理和公平的RPM需要为非英语发言者和远离移植的患者提供量身定制的外展服务.
- 通过个性化提供者联系,明确的教育和透明的数据使用政策来提高计划设计,可以降低患者退休率.
关键词:
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