通过技术支持的报告和导航 (PATTERN研究) 来表型化坚持:使用探索,准备,实施和维持框架进行干预适应的定性研究.
Allison P Pack1, Stacy C Bailey1, Rachel O'Conor1
1Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.
JMIR formative research
|October 17, 2024
概括
适应基于技术的干预措施,以适应多种慢性疾病的老年人对药物的坚持是可行的. 患者和临床医生的反将指导这种方法在初级保健机构的实施.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 主要护理医学 医疗保健
背景情况:
- 患有多种慢性疾病 (MCC) 和多种药房的老年人经历了药物坚持的重大挑战.
- 不坚持治疗会对治疗结果产生负面影响,增加药物不良反应,并降低生活质量.
研究的目的:
- 为在初级保健中适应一种技术支持的药物坚持干预措施 (通过技术支持的报告和导航 (PATTERN) 进行表型坚持,用于患有MCC和多药的老年人.
- 收集患者,临床医生和管理人员的多层次反,以告知干预适应.
主要方法:
- 通过半结构面试进行了形成性定性研究.
- 参与者包括来自初级保健机构的患者 (≥65岁,MCC,多药店),临床医生和管理人员.
- 根据探索,准备,实施和维持框架的指导,采用了主题分析.
主要成果:
- 总共进行了25次采访 (13名患者,12名临床医生/管理人员).
- 参与者普遍认为基于技术的药物坚持监测概念对目标人群来说是可以接受和适当的.
- 确定了一些特殊问题,需要对初级保健实施进行干预调整.
结论:
- 技术支持的药物坚持干预,从专业护理中改进,准备好实施初级保健.
- 形成性反突出了干预调整的关键领域.
- 这些发现可能会指导未来基于技术的干预措施,特别是那些利用老年人患者门户的干预措施.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.2K
15:00Setup of Consumer Wearable Devices for Exposure and Health Monitoring in Population Studies
Published on: February 3, 2023
2.4K
相关概念视频
01:21Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
01:25Types of Reports I: Hands-off Report
889
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
889
01:15Natural Selection and Adaptation
177
Natural selection, a fundamental concept in evolutionary biology, is the mechanism by which evolution is driven, favoring organisms that are best adapted to their environments. This process enhances their chances of survival and reproduction. Adaptation, a key outcome of this process, involves genetic modifications that optimize an organism's functionality under specific environmental challenges, such as extreme cold or thinner air at high altitudes.
Beyond physical adaptations,...
Beyond physical adaptations,...
177