一个用于慢性疾病自我管理的移动应用程序,用于低健康素养的个人:一个多站点随机对照临床试验
Raymond L Ownby1, Michael Simonson2, Joshua Caballero3
1Department of Psychiatry and Behavioral Medicine, Nova Southeastern University, Fort Lauderdale FL.
概括
一个移动应用程序改善了低健康素养的老年人的慢性疾病自我管理. 虽然心理社会结果增加了,但药物坚持没有改变,阅读困难水平没有显著影响.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 健康素养研究研究健康素养研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 低健康素养对老年人慢性疾病自我管理构成挑战.
- 需要有效的数字工具来支持这一群体.
- 量身定制的信息传递对于改善健康结果至关重要.
研究的目的:
- 评估移动应用程序在改善慢性疾病自我管理方面的有效性.
- 评估应用程序中不同阅读难度水平的影响.
- 检查对患者激活,自我效能,生活质量和药物坚持的影响.
主要方法:
- 在两个地点进行的随机对照试验.
- 参与者年龄在40岁以上,健康素养较低和慢性疾病被录取.
- 随机分配到一个多媒体应用程序,在三个年级级别的文本.
主要成果:
- 所有组都显示了患者激活度的增加,慢性疾病的自我有效性和与健康有关的生活质量.
- 没有观察到药物坚持的显著变化.
- 没有发现两组之间的差异,阅读困难与结果没有显著关系.
结论:
- 移动应用程序显示了在慢性疾病自我管理中改善心理社会变量的潜力.
- 由于集团之间没有显著的差异,因此得出了初步结论.
- 阅读难度水平没有影响本研究中观察到的结果.
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