在缺乏服务的社区中采用自测血压监测 (ASPIRE):试点随机对照试验
Rasha Khatib1, Nicole Glowacki2, Iridian Guzman2
1Advocate Aurora Research Institute, Advocate Health, Milwaukee, WI, USA. rasha.alkhatib@aah.org.
Journal of general internal medicine
|June 25, 2025
概括
该ASPIRE临床整合包是可行的改善自测血压 (SMBP) 参与初级保健. 这种干预显著增加了SMBP的采用,并在资源不足的环境中降低了缩血压.
科学领域:
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 解决自测血压 (SMBP) 的障碍对于管理高血压至关重要.
- 需要量身定制的实施策略来改善SMBP的参与和成果.
- 缺乏资源的初级保健机构在采用新健康技术方面面临着独特的挑战.
研究的目的:
- 评估ASPIRE临床整合包的可行性和可接受性.
- 评估ASPIRE对SMBP采用和参与初级保健的影响.
- 确定ASPIRE在改善不同人群血压控制方面的有效性.
主要方法:
- 一项随机试验在一个大型,多样化的初级保健诊所进行.
- 患有高血压的患者被随机分配,接受免费的SMBP设备或设备加ASPIRE包.
- 该ASPIRE包包括袖口大小,培训,日志使用,提醒,社会需求选和工作流集成.
主要成果:
- 推,招聘和保留的可行性目标得到了实现.
- 在所有6个ASPIRE组件中都观察到高准确性,超过90%的患者接受查和工作流集成.
- 在ASPIRE干预手臂显示,在6个月后,SMBP参与度增加了52.0%,缩性血压降低了11.9 mmHg.
结论:
- 该ASPIRE临床整合包是可行的和可接受的促进SMBP采用在资源不足的初级保健.
- 结果支持在更大的试验中进一步调查,以确认高血压控制和差异减少的有效性.
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