跨多个初级保健场所的患者-临床医生沟通干预:一个集群随机临床试验
Ming Tai-Seale1, Michael Cheung2, Florin Vaida2
1University of California, San Diego, School of Medicine, La Jolla.
与海报相比,通过移动应用程序或面对面的临床指导并没有显著改善患者的沟通. 面对面的指导在患者的建议和信心方面显示了一些好处.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
- 临床交流 临床沟通
背景情况:
- 改善患者与临床医生的沟通对于有效的医疗保健至关重要.
- 不同的沟通增强策略存在有限的对比比较.
研究的目的:
- 为了比较临床医生辅导 (移动应用程序与面对面) 与共享决策的提醒海报的有效性.
- 评估移动应用程序辅导是否与面对面辅导相比没有劣势.
主要方法:
- 一个3臂集群随机临床试验,涉及21个初级保健诊所.
- 干预措施包括面对面的辅导,移动应用程序辅导和提醒海报 (AskShareKnow).
- 主要结局测量了患者对沟通和共享决策的看法 (CollaboRATE).
主要成果:
- 在三个干预组中,在主要结局 (CollaboRATE得分) 中没有发现显著差异.
- 接受面对面指导的患者更有可能推他们的临床医生.
- 与面对面的辅导相比,移动应用程序组的患者在3个月后对管理健康的信心较低.
结论:
- 该研究没有发现有意义的证据表明,临床医师的指导 (移动或面对面) 比提醒海报更能改善患者的参与度.
- 一些次要结果表明,面对面的辅导可能有好处.
- 可能需要采取替代措施来参与患者参与.
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