一个虚拟的自我管理干预青少年与青少年异常性关节炎:VISTA-JIA随机对照试验的协议
Jessica Booth1, Kathryn A Birnie2, Kelsey Chomistek3
1Section of Rheumatology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
JMIR research protocols
|June 27, 2025
概括
这项试点研究评估了为患有青少年异常性关节炎 (JIA) 的青少年提供虚拟自我管理计划 (SMP),显示了改善疾病信息,自我管理技能和同行支持的可行性和初步有效性.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 数字健康干预措施 数字健康干预措施
- 慢性疾病管理 慢性疾病管理
背景情况:
- 青少年无形性关节炎 (JIA) 患者的需求包括疾病信息,自我管理技能和同行支持.
- 以前的面对面和视频会议自我管理计划 (SMP) 已经显示出可接受性.
- 基于虚拟小组的SMP旨在解决青少年中这些已识别的需求.
研究的目的:
- 评估基于JIA的青少年虚拟群体SMP的可行性和初步有效性.
- 在试点随机对照试验 (RCT) 中,将虚拟SMP与等候名单对照组进行比较.
- 该VISTA-JIA试验旨在评估可行性和初步有效性.
主要方法:
- 100名患有JIA的青少年 (12-17岁) 从5个加拿大中心招募,随机分为1:1到虚拟SMP或等候名单控制.
- 虚拟SMP由四个60-90分钟的会议组成,持续8周,每个小组有4-6名参与者.
- 可行性结果包括坚持,招聘/退出率,参与度,满意度和忠诚度;有效性通过5个验证的干预前/后调查问卷进行评估.
主要成果:
- 研究设置已经完成,包括辅导员培训和完成的教育材料.
- 招聘于2024年1月开始,预计将于2025年12月结束.
- 在干预完成后,将分析可行性和初步有效性结果.
结论:
- 这是加拿大第一个基于证据的,虚拟的,集团结构的JIA SMP.
- 该计划解决了JIA青少年对疾病信息,自我管理和同行支持的关键需求.
- 试点研究结果将为更大的RCT提供有效性和成本效益的信息,以便将其潜在纳入常规护理.
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