对患有喘的老年人进行远程行为干预的实施 - 一项试点研究
Alan P Baptist1, Jerry A Krishnan2, Lynn B Gerald2
1Division of Allergy and Clinical Immunology, Henry Ford Health and MI State University Health Sciences (HFH + MSU), Detroit, MI, USA.
概括
一项新的远程干预改善了老年人的喘控制和生活质量. 这个可行和可接受的计划,包括共享决策,显示了更广泛实施的希望.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 行为科学 行为科学
背景情况:
- 患有喘的老年人 (OAA) 患病率很高.
- 之前的面对面干预表明了好处,但面临着实施挑战.
- 为OAA开发了一种使用共享决策 (SDM) 的远程,医生参与的干预.
研究的目的:
- 评估OAA新型远程干预的可行性和可接受性.
- 评估远程干预对喘控制和相关结果的影响.
主要方法:
- 一项试点研究涉及12名OAA及其喘提供者.
- 一个4个会议的远程干预 (SOAR),包括小组和个人会议.
- 提供者收到了进展更新和SDM指导;实施和临床结果被测量.
主要成果:
- 对于OAA和提供者来说,SOAR干预是可行的,可以接受的和适当的.
- 在喘控制 (p=0.04),喘生活质量 (p=0.03) 和自我信心 (p=0.02) 中观察到显著的改善.
- 抑郁症或感知对照得分没有显著变化.
结论:
- 远程行为干预对OAA及其医疗保健提供者来说是可行的和可以接受的.
- 这项干预显示出改善关键喘相关结果的潜力.
- 建议进行更大规模的试验,以确认有效性并促进广泛采用.
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