在第一次查结肠镜检查之前,开发一种简短的基于正念的在线干预措施,以减少患者的焦虑
Brent Emerson1, Paul L Reiter2,3, Maryanna Klatt4
1Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA. emerson.124@osu.edu.
一个基于正念的在线干预 (MBI) 被开发来减少在查结肠镜检查之前的焦虑. 利益相关者的意见确保了MBI对患者和医务人员来说是可以接受和可行的.
科学领域:
- 健康心理学 心理健康心理学
- 行为医学是一种行为医学.
- 数字健康干预措施 数字健康干预措施
背景情况:
- 在接受首次查结肠镜检查的患者中,程序前的焦虑是常见的.
- 现有的干预措施可能无法充分解决这个程序之前的患者焦虑.
- 在线交付提供了一个可扩展的方法来支持患者.
研究的目的:
- 描述一项基于正念的在线干预 (MBI) 的发展,旨在在初始查结肠镜检查之前减轻平均风险患者的焦虑.
- 概述用于创建以患者为中心和医学上准确的干预的代,利益相关者参与的过程.
- 建立一个试点随机对照试验的基础,评估MBI的可行性和可接受性.
主要方法:
- 由健康行为和正念理论指导的定性,代方法.
- 与患者,内镜工作人员和社区成员 (n=18) 参与的形成性访谈和开发会议.
- 使用NVivo软件对转录的采访和反会话进行主题分析.
主要成果:
- 两个主要主题出现了: (1) 患者和工作人员证实了平均风险个体的结肠镜前焦虑. (2) 利益相关者的参与对于干预的可接受性,医疗准确性和工作流集成至关重要.
- 循序渐进,由利益相关者驱动的过程产生了可行和可接受的MBI.
结论:
- 一个代的,利益相关者参与的开发过程对于创建有效和可接受的健康干预措施至关重要.
- 开发的在线MBI有可能减少手术前的焦虑,改善患者的坚持和满意度,并优化诊所的工作流程.
- 通过试点随机对照试验进行进一步的研究正在进行中,以评估MBI的可行性,可接受性和初步疗效.
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