西班牙一般性焦虑症患者的网络决策辅助的有效性:一项随机对照试验
Vanesa Ramos García1,2,3,4,5, Amado Rivero-Santana1,2,4,5, Wenceslao Peñate-Castro3
1Evaluation Unit (SESCS), Canary Islands Health Service (SCS), Santa Cruz de Tenerife, Tenerife, Spain.
BMJ health & care informatics
|July 8, 2025
概括
在线患者决策辅助 (PtDA) 改善了一般性焦虑障碍 (GAD) 患者的知识,但并没有减少决策冲突. 高退学率限制了解释,需要进一步的研究.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 医疗信息学 医疗信息学
背景情况:
- 泛性焦虑症 (GAD) 是一个重大的公共卫生挑战.
- 有效的患者参与工具对于管理GAD等慢性疾病至关重要.
- 在线患者决策辅助工具 (PtDAs) 为患者赋权提供了一个有希望的途径.
研究的目的:
- 评估在线患者决策辅助 (PtDA) 对被诊断患有泛性焦虑障碍 (GAD) 的患者的有效性.
- 评估PtDA对GAD患者决策冲突,知识和治疗选择的影响.
主要方法:
- 在17个初级保健中心进行了一项随机对照试验.
- 患有GAD的患者 (GAD-7分数≥8) 被随机分配,接受PtDA或一般信息事实表.
- 主要结果是决策冲突,次要结果包括知识,治疗偏好一致性,决策质量和GAD症状.
主要成果:
- 在干预后3个月,PtDA显著改善了对GAD及其治疗方法的客观知识.
- 在PtDA和对照组之间的决策冲突中没有观察到显著的差异.
- 在PtDA组中发现了减少焦虑症状的趋势,尽管在治疗意图分析中,这种趋势在统计学上并不显著.
结论:
- 在线PtDA增强了患者对GAD的知识,但并没有显著减少决策冲突.
- 方法上的局限性,特别是高退学率,需要谨慎地解释研究结果.
- 需要进一步的研究来验证PtDAs对GAD患者的有效性.
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