两部分物质使用选器的可行性 纸上患者自行管理:观察性研究
Joanna Kramer1, Timothy E Wilens2, Vinod Rao2
1Department of Psychiatry, Boston Medical Center, Boston, MA, United States.
JMIR formative research
|June 25, 2024
概括
为电子使用而开发的基于纸张的患者报告结果测量 (PROM) 提出了挑战. 许多患者在烟草,酒精,处方药和其他物质 (TAPS) 选器的说明中遇到了困难,这影响了数据的准确性.
科学领域:
- 行为健康 行为健康
- 药物使用查.
- 医疗信息学 医疗信息学
背景情况:
- 在行为健康中,基于测量的护理 (MBC) 依赖于患者报告的结果测量 (PROM).
- PROM越来越电子化,但纸质版本仍在使用.
- 对于电子开发的PROM,纸质管理的可行性尚不清楚.
研究的目的:
- 检查在纸上自行使用两部分烟草,酒精,处方药和其他物质 (TAPS) 选器的可行性.
- 评估患者对纸张适配的电子开发TAPS查仪的说明的遵守情况.
- 解决城市安全网医院紧急护理行为健康诊所电子管理的障碍.
主要方法:
- 从2021年8月到2022年3月收集的非身份化纸张TAPS答复.
- 追踪TAPS完成率和遵守问卷说明的情况.
- 对人口统计数据进行了回顾性图表审查.
主要成果:
- 在507名患者中,有313人 (61.7%) 完成了TAPS查.
- 只有76名 (24.3%) 患者遵守了指令;237名 (75.7%) 患者没有.
- 在那些不坚持的人中,166人回答了更多问题,71人回答了更少的问题;44个回答与第1部分相矛盾,影响了得分.
结论:
- 电子开发的PROM的纸质管理,就像TAPS选器一样,提出了遵守挑战.
- 考虑在MBC中选择PROM的问卷结构和管理方法.
- 适应PROM的自我管理可能需要额外的支持.
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