对于患有心房的农村患者的移动健康干预是一个随机对照试验
Jared W Magnani1, Keri Plevniak2, Danielle Ferry3
1Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
International journal of cardiology
|July 3, 2025
概括
基于智能手机的关系剂在农村心房 (AF) 患者中改善了自我报告的抗凝固固的坚持,尽管12个月的药物坚持率在各组之间没有显著差异.
科学领域:
- 数字健康数字健康
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有心房 (AF) 的农村人口面临着持续抗凝治疗和自我管理的重大障碍.
- 需要有效的干预措施来改善这种人口群体的坚持和结果.
研究的目的:
- 评估基于智能手机的关系剂干预措施,旨在提高农村AF患者的抗凝固药坚持和生活质量.
- 为了比较干预对药物坚持,生活质量和医疗保健利用的影响,与标准的健康教育应用程序进行比较.
主要方法:
- 一项随机对照试验,涉及270名接受抗凝药的农村AF患者.
- 参与者被分配到一个基于智能手机的关系代理与监控设备或健康教育应用程序4个月.
- 抗凝固药的坚持是通过12个月的覆盖日比率 (PDC) 来衡量的;生活质量和医疗保健利用是次要的结果.
主要成果:
- 干预组和对照组之间没有观察到12个月PDC的显著差异 (中位数PDC:两者均为0.97).
- 干预参与者在4个月和8个月报告了更高的自我坚持 (分别为95.7%与88.4%和93.0%与78.8%),但这种差异减少了12个月.
- 两组之间在生活质量或医疗保健利用方面没有发现显著差异.
结论:
- 在农村AF患者中,基于智能手机的关系剂干预并没有显著改善12个月药物坚持 (PDC).
- 与对照组相比,干预导致了更高的临时自我报告的遵守率.
- 这项研究强调了数字工具的潜力,以支持AF的农村患者在特定时期遵守AF.
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