在数字健康高血压干预中,成功查和随后随机化的社会人口统计预测因素
Hailey N Miller1, Sandy Askew2, Miriam B Berger2
1School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Digital health
|October 3, 2024
概括
像Nourish试验这样的数字健康干预 (DHI) 的远程招聘可能会排除受教育程度较低或移动技术经验较少的个人. 确保公平获得临床试验需要评估这些远程程序.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 临床试验招聘 临床试验招聘
- 健康 公平 卫生 公平
背景情况:
- 临床试验经常在参与者代表性方面扎,限制了研究结果的概括性.
- 远程招聘和查在数字健康干预 (DHI) 中越来越多地使用.
研究的目的:
- 探索远程招聘和查如何影响参与DHI,促进饮食方法来阻止高血压 (DASH) 的饮食模式.
- 检查社会人口统计和移动技术使用对DHI查完成和随机化的影响.
主要方法:
- 诺里什试验是一项为期12个月的随机对照试验 (RCT),涉及患有高血压的美国成人.
- 参与者通过数字方式招募,并完成了远程查步骤.
- 分析了社会人口结构,移动技术使用和随机化之间的关联.
主要成果:
- 在678名同意的成年人中,44%是随机的.
- 随机选择的参与者具有高等教育,更有可能使用健康应用程序和可穿戴设备,并且年龄较大.
- 通过桌面/笔记本电脑/平板电脑而不是手机访问互联网与随机化有关.
结论:
- 教育程度较低或移动技术经验有限的个人可能需要额外的支持来参与DHI.
- 对远程临床试验程序的进一步研究对于提高概括性和实现公平参与至关重要.
相关概念视频
Errors occurring during blood pressure monitoring
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
Randomized Experiments
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...
Simple randomization
Simple...
Hypertension I: Introduction
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Hypertension V: Nursing Management
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.


