短信干预不健康的酒精使用在紧急部门:混合方法 评估实施障碍和促进者
Megan O'Grady1, Laura Harrison2, Adekemi Suleiman1
1Department of Public Health Sciences, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT, 06032, United States, 1 860 679 5483.
JMIR formative research
|March 3, 2025
概括
短信短信干预措施在应急部门 (ED) 解决不健康的酒精使用 (UAU) 方面表现有前途. 实施面临可行性挑战,特别是查率,但工作人员和患者都普遍接受这种方法.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 不健康的酒精使用 (UAU) 在急诊室 (ED) 的患者中很普遍.
- 短信短信干预措施是可行的和可接受的管理健康问题,包括物质使用.
- 虽然这些干预措施有效地减少了酒精消费,但在临床环境中尚未得到充分利用.
研究的目的:
- 评估在ED中对UAU实施SMS短信干预措施的障碍和促进者.
- 通过i-PARIHS框架检查受理者特征,干预适应性和上下文因素.
- 为UAU干预EDS的有效实施策略的制定提供信息.
主要方法:
- 一项混合方法研究,利用卫生服务研究实施的综合促进行动 (i-PARIHS) 框架.
- 对来自17个ED的电子健康记录进行分析,以确定酒精查率.
- 调查ED医生主席和采访ED工作人员和患者.
主要成果:
- 在EDS之间,酒精查完成率的高变化.
- 对干预的高度信心,可接受性和适当性,但可行性得分较低.
- 工作人员对工作流集成和患者负担的担忧;患者对实现饮酒和健康目标的兴趣.
结论:
- 在ED中为UAU实施SMS短信显示出潜力,但需要解决选率等可行性问题.
- 工作人员认为干预措施是适当和可接受的,尽管工作流集成是一个挑战.
- 患者接受SMS干预,这表明需要量身定制的实施策略.
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