心理测量验证研究的结果:患有刺激性肠综合征的患者报告使用一天结束与实时评估的较高症状负担
Michelle Bosman1, Lisa Vork1, Daisy Jonkers1
1Department of Gastroenterology-Hepatology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
The American journal of gastroenterology
|September 23, 2024
概括
经验采样方法患者报告结果测量 (ESM-PROM) 准确地捕捉了刺激性肠综合征 (IBS) 的实时胃肠症状. 这种方法为个性化IBS管理提供了可靠的回顾性报告的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 心理测量 心理测量 心理测量
- 数字健康数字健康
背景情况:
- 当前一天末或一周末报告易肠综合征 (IBS) 的胃肠道 (GI) 症状可能不准确地反映实时体验.
- 经验采样方法 (ESM) 为IBS中更精确的症状评估提供了一个有希望的方法.
- 这项研究通过心理测量评估了先前开发的基于ESM的患者报告结果指标 (PROM),用于IBS的实时GI症状评估.
研究的目的:
- 评估基于ESM的PROM的有效性和可靠性,以实时评估IBS患者的胃肠道症状.
- 将ESM-PROM捕获的实时数据与传统的每日结束和周末报告方法进行比较.
- 确定ESM-PROM作为IBS管理中个性化医疗保健工具的潜力.
主要方法:
- 一项多中心验证研究,涉及3个欧洲国家的230名罗马IVIBS患者.
- 患者完成电子ESM-PROM (每天最多进行10次随机评估) 和7天的终日症状日记.
- 周末问卷评估了症状严重程度,IBS状态,抑郁和焦虑.
主要成果:
- 与一天结束的分数相比,ESM-PROM的平均完成率为71%,具有很强的相关性和良好的一致性 (ICC 0.580-0.779).
- 一天结束时的分数明显高于每日ESM平均分数,这表明回顾方法中的潜在回忆偏差.
- 在ESM-PROM中,表现出中等至良好的内部一致性 (Cronbach's α 0.585-0.887) 和优异的测试重复测试可靠性 (ICC 0.871-0.958).
结论:
- ESM-PROM是一个有效和可靠的工具,用于实时评估IBS的胃肠道症状.
- ESM-PROM提供精确的个体症状模式和触发相互作用数据,避免峰值报告偏差.
- 这种工具对个性化医疗保健,监测疾病进程和IBS患者治疗反应具有重大潜力.
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