在黑人成年人中评估每日抗高血压药物的遵守,使用基于智能手机的生态瞬间评估:可行性研究
Tonychris Nnaka1, Elizabeth Heitkemper, Emily T Hébert
1Author Affiliations: The University of North Texas Health Science Center, Fort Worth, TX (Dr Nnaka); The University of Texas at Austin, Austin, TX (Drs Heitkemper, Radhkrishnan, and Kim and Ms Ewere); The University of Texas Health Science Center at Houston, Austin, TX (Dr Hébert); and Center for Evidence-Based Programming, Little Rock, AR (Dr Young).
Computers, informatics, nursing : CIN
|July 29, 2025
概括
智能手机生态瞬间评估对于患有高血压的黑人成年人来说是可行的和可以接受的. 这种方法准确地跟踪药物服药,改善了这种代表性不足的人群的高血压自我管理策略.
科学领域:
- 数字健康数字健康
- 心血管健康 心血管健康
- 健康差异 在健康上的差异
背景情况:
- 在黑人人口中,降低抗高血压药物的服药程度有助于控制不下的高血压和健康风险.
- 生态瞬间评估 (EMA) 提供实时行为见解,克服高血压自我管理中的回忆偏差.
- 在现有的EMA关于高血压自我管理的研究中,黑人人群体的代表性不足.
研究的目的:
- 评估基于智能手机的EMA对患有高血压的黑人成人的可行性和可接受性.
- 在这个人口群体中使用EMA评估药物遵守模式.
- 解决黑人成年人在EMA研究中的代表性不足问题.
主要方法:
- 基于智能手机的生态瞬间评估 (EMA) 在34名患有高血压的黑人成年人中实施.
- 参与者在智能手机上收到提示,以便实时进行自我管理评估.
- 在28天的时间内记录了参与者的药物服药和参与者的经验.
主要成果:
- 对EMA提示的响应率很高 (96.4%,n=918/952).
- 观察到高的每日药物遵守 (平均24.71/28天).
- 参与者报告了积极的经验和对未来参与的意愿.
结论:
- 基于智能手机的EMA是评估黑人成年人高血压自我管理的可行和可接受方法.
- 这种数字化方法有望改善在代表性不足的人群中对药物遵守的数据收集.
- 研究结果支持使用EMA来增强高血压护理和减少健康差异.
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