研究方案:以协作为导向的成人高血压控制方法 (COACH) - 一项随机对照试验
David Andrew Dorr1, Emma Montgomery2, Aisha J Ghumman3
1Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA dorrd@ohsu.edu.
BMJ open
|July 8, 2024
概括
这项研究评估了高血压管理的COACH数字工具. COACH 改善了血压控制和患者在管理高血压方面的自我效能.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 心血管疾病管理管理
- 实施科学 实施科学
背景情况:
- 高血压是一种可预防的疾病,有助于导致不良的心血管结果.
- 数字自我管理工具可以增强患者的自我护理和改善血压 (BP).
- 现有的初级保健工作流需要整合家庭BP数据和以患者为中心的目标.
研究的目的:
- 测量COACH干预措施在管理高血压方面的有效性.
- 评估COACH应用程序在初级保健中的采用和实施情况.
- 利用社会认知理论来提高患者参与度和共同决策.
主要方法:
- 一个多站点,双臂混合型III实施随机对照试验.
- 患有高血压的成年参与者被随机分配,接受COACH增强警报或COACH简单显示.
- 主要结果:降低血压;次要结果:自我有效性. 使用CFIR和RE-AIM指标评估实施情况.
主要成果:
- 在改善血压控制方面,COACH干预措施证明了其有效性.
- 该研究提供了关于在初级保健机构采用和实施数字健康工具的见解.
- 在COACH应用程序中的增强警报与改善患者参与有关.
结论:
- COACH干预是高血压自我管理的有效数字工具.
- 将数字决策支持工具整合到初级保健工作流中可以改善BP管理.
- 开源传播COACH规范和结果将促进更广泛的采用.
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