成功招募远程数字健康研究:退伍军人卫生管理局的招募和保留结果
Jaclyn Pagliaro1,2, Lauren Wash1, Ka Ly3
1Center for Health Optimization and Implementation Research, VA Bedford Medical Center, 200 Spring Road, Bedford, US.
JMIR formative research
|May 7, 2025
概括
通过退伍军人健康管理局 (VA) 招募患者显著改善了远程患者监测 (RPM) 临床试验的入学和保留率. 这种方法确保研究达到招生目标,克服远程数字健康研究的常见挑战.
科学领域:
- 数字健康数字健康
- 临床试验方法论 临床试验方法论
- 远程监控患者 远程监控患者
背景情况:
- 远程数字健康研究面临的挑战是患者的招生和保留.
- 像退伍军人事务 (VA) 等大型综合卫生系统,为临床试验提供了大量的患者库.
- 退伍军人人口通常年龄较大,并患有更多的并发病,这代表了健康研究的关键人口.
研究的目的:
- 评估与VA患者进行的远程患者监测 (RPM) 设备研究的入学和保留结果.
- 利用VA广泛的网络进行涉及多传感器设备的数字健康研究.
- 确定影响远程临床试验设置入学和完成的因素.
主要方法:
- 在一项使用蜂支持的RPM设备的研究中,招募了203名具有COVID-19病史和先前存在的疾病的VA患者.
- 利用VA的企业数据仓库识别潜在的符合条件的患者通过邮件进行远程招聘.
- 进行了所有研究程序,包括同意和培训,在线和通过电话,收集设备,调查和临床数据.
主要成果:
- 从7714封邮寄的邀请函中获得2.9%的入学收益率,招募了203名患者.
- 达到了82%的保留率,有166名患者完成了研究.
- 不完成的主要原因是无法联系参与者进行研究任务.
结论:
- 通过VA系统招聘提供了大量患者群体的访问,提高了远程数字健康研究的成功率.
- 弗吉尼亚州的综合健康系统是实现临床试验的入学和完成目标的宝贵资源.
- 克服接触挑战的策略对于改善远程学习的留学能力至关重要.
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