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数字指南版本对精神分裂症指南知识的影响:来自多中心集群随机对照试验的结果
Theresa Halms1, Gabriele Gaigl2, Carolin Lorenz3
1Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany. Theresa.Halms@med.uni-augsburg.de.
BMC medicine
|July 29, 2024
概括
数字指南版本在改善医疗保健专业知识方面没有显著差异,与印刷格式相比. 这两种格式都提高了对德国精神分裂症指南的理解,表明实施策略是关键,而不仅仅是媒介.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床实践指南 临床实践指南
- 数字健康干预措施 数字健康干预措施
背景情况:
- 临床实践指南对于医疗保健质量至关重要,但面临不一致的实施.
- 德国精神分裂症指南 (2019) 的低遵守率凸显了现有的挑战.
- 遵守指南的障碍是复杂的,涉及个人,上下文和指南特定因素.
研究的目的:
- 为了比较数字指南版本与打印/PDF格式在加强指南遵守方面的有效性.
- 评估数字与传统格式对医疗保健专业人员对德国精神分裂症指南知识的影响.
主要方法:
- 德国巴伐利亚南部的一项多中心,集群随机对照试验,涉及心理学家和医生.
- 两个组:一个使用数字在线版本 (MAGICapp),另一个使用印刷/PDF版本.
- 一个为期6个月的干预,对指南知识进行基线和干预后评估.
主要成果:
- 数字和印刷/PDF格式都导致了指导方针知识的显著改善.
- 在基线或干预后,在数字和打印/PDF组之间没有观察到指导知识的统计学上显著差异.
- 虽然在知识方面并不优越,但数字版本显示了在共享决策技能的潜在好处.
结论:
- 实施策略可以改善指导方针的知识,无论其格式如何 (数字与印刷/PDF).
- 熟悉传统格式和数字屏障可能影响了数字版本缺乏优势.
- 量身定制的实施策略至关重要,特别是对于年轻的医疗保健提供者来说.
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