在高风险人群中提高中风意识和激活:在各种医疗保健机构的随机直接邮件干预
Christine C Groves1,2,3, Teresa M Damush4,3,5,6, Laura J Myers4,3,5
1Department of Physical Medicine and Rehabilitation (C.C.G.), Indiana University School of Medicine, Indianapolis.
Circulation. Cardiovascular quality and outcomes
|March 24, 2025
概括
一个带有5美元激励金额的邮件显著增加了患者参与中风风险降低工作的参与度. 许多患者仍然不知道自己的中风风险,这凸显了需要有效的沟通策略的需要.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 临床试验 临床试验
背景情况:
- 许多患者缺乏对自己个人中风风险的认识.
- 需要有效的策略来让患者参与降低中风风险.
研究的目的:
- 为了比较行为定制邮件对患者激活中风风险降低的影响.
- 评估不同信息组件 (激励,突出) 在吸引高风险患者中的有效性.
主要方法:
- 一项随机临床试验,涉及退伍军人卫生管理局 (VA) 和埃斯基纳齐医疗系统 (EHS) 的初级保健患者.
- 在中风风险最高的五分之一中的患者收到了标准,激励,突出或激励加突出邮件.
- 主要结局是患者通过拨打中风预防协调员的响应.
主要成果:
- 激励信息在EHS队列中增加了响应率 (OR, 1.97).
- 激励加上突出信息增加了VA队列的响应率 (OR,1.50).
- 显著比例的患者 (27-31%) 没有意识到他们的中风风险因素.
结论:
- 一个带有金钱激励的邮件信息有效地吸引了高风险患者.
- 纳入突出元素可能进一步加强对特定患者群体的参与.
- 患者对中风风险的不认识强调了有针对性的健康沟通干预措施的重要性.
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