基于指导方针的移动健康干预与高风险喘青少年的常规护理进行比较:随机对照试验的协议
Tamara T Perry1,2, Jessica H Turner1,2, Ariel Berlinski1,2
1Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
JMIR research protocols
|July 25, 2025
概括
这项研究评估了青少年的移动喘行动计划应用程序 (PEAKmAAP). 结果表明,该应用程序有效降低了喘发病率和改善了自我护理,为管理青少年喘提供了一个有前途的数字健康工具.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 青少年医学 青少年医学
- 呼吸系统健康 呼吸系统健康
背景情况:
- 移动健康 (mHealth) 应用程序显示,患者对喘管理的满意度很高.
- 对mHealth喘应用程序的严格随机对照试验 (RCT) 是有限的.
- 许多现有的应用程序缺乏个性化,实时反,并专注于有风险的儿科患者群体.
研究的目的:
- 评估肺教育和喘知识移动喘行动计划 (PEAKmAAP) 应用程序在青少年中的有效性.
- 评估PEAKmAAP对喘发病率,自我有效性和药物坚持的影响.
- 检查与初级保健提供者 (PCP) 分享应用程序生成数据的影响.
主要方法:
- 一个为期12个月的3臂随机对照试验 (RCT),涉及432名患有非控制性喘的青少年 (12至20岁).
- 参与者被分配到PEAKmAAP,数据共享的PEAKmAAP (PEAKmAAP-DS) 或增强的通常护理 (eUC).
- 通过面对面和电话访问收集的数据,以及每月在线调查,衡量喘控制测试 (ACT) 得分,肺功能,医疗保健使用和药物服药.
主要成果:
- 数据收集于2024年5月结束,全面分析将于2024年12月开始.
- 这项研究旨在确定PEAKmAAP是否与eUC相比降低了喘发病率.
- 假设包括改善PCP处方模式与数据共享和更好的喘控制在PEAKmAAP组.
结论:
- 这个RCT研究了一个个性化的mHealth喘行动计划,具有实时反和PCP数据共享.
- 该研究解决了对高风险青少年实施mHealth喘工具的差距.
- 这些发现可能为其他高风险人群的喘管理建立一个模型.
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