处方药信息的基于证据的设计:更新的范围审查
Andrea M Russell1,2, Rebecca Lovett3,4, Abigail Vogeley3,4
1Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, 750 N Lake Shore Dr., 10th Floor, Chicago, IL, 60611, USA. andrea.russell@northwestern.edu.
Drug safety
|March 13, 2025
概括
精心设计的处方药信息 (PMI),包括患者反和健康素养原则,可以改善患者的知识和行为. 强有力的证据支持带有文本的图标,而短信显示了改善药物坚持的温和承诺.
科学领域:
- 卫生识字 卫生识字
- 患者教育 患者教育
- 医学沟通 医学沟通
背景情况:
- 有效的处方药信息 (PMI) 对于安全的自我管理和患者教育至关重要.
- 最后一次对PMI设计的最佳实践进行了先前审查,使用了到2015年发表的研究.
研究的目的:
- 更新对不同类型的PMI进行比较的研究描述.
- 详细说明患者参与PMI设计.
- 巩固与患者积极结果相关的设计元素.
主要方法:
- 在四个数据库 (Ovid,Embase,CINAHL,Cochrane) 进行系统的文献搜索,并进行引用搜索.
- 包括2016年以后以英语出版的随机对照试验.
- 证据强度分为"强" (一致的发现,>=2项研究) 或"中等" (不一致的发现或质量).
主要成果:
- 审查了32篇文章,大多数研究都显示出一些偏见或高风险.
- 三分之二报告了开发细节,超过一半通过试点测试或反参与了患者,显示了好处.
- 积极的结果与健康素养原则 (简单的语言,清晰的排版,可操作的说明) 以及使用图形图形/插图与文本和短信有关.
结论:
- 很大一部分研究涉及PMI发展的患者,重点关注行为结果,尽管临床结果仍未得到充分研究.
- 强有力的证据支持在书面信息和药房标签上配对文字的图标.
- 对于PMI传递中的短信存在适度的证据;新的方法需要进一步调查.
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