在成年人炎症性肠道疾病的多模式自助干预的偏好,可接受性和利用:与患者和临床医生实用多中心研究
Chung Sang Tse1, Melissa G Hunt2, James D Lewis1
1Division of Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, PA, USA.
很少有炎症性肠病患者使用自助资源,但大多数人认为这是可以接受的. 多模式资源是可行的信息,支持和管理IBD.
科学领域:
- 胃肠病学 胃肠病学
- 数字健康数字健康
- 患者支持 患者支持
背景情况:
- 对患者和临床医生对炎症性肠病 (IBD) 自助资源的态度的理解有限.
- 现有的研究强调了慢性疾病自助的好处,但IBD特定数据很少.
研究的目的:
- 探索患者和临床医生在IBD中的多式自助资源的经验.
- 评估IBD患者中自助工具的可接受性,偏好和使用情况.
主要方法:
- 展望性,融合的并行混合方法研究 (通过教育,参与和赋权资源来优化信心 - CORE).
- 参与了5个胃肠病实践,并提供了5个IBD特定的多式联络自助资源.
- 使用电子调查和与患者和提供者聚焦小组,以及统计分析.
主要成果:
- 在536名IBD患者中,只有3.7%先前使用了自助资源,但80%接受了提供的资源.
- 健康信心较低的患者和女性更有可能选择资源.
- 异步资源 (书籍,应用程序) 使用率高于同步资源 (帮助中心,同行指导).
结论:
- 尽管之前的使用率很低,但大多数IBD患者发现多式联络自助资源是可以接受和可行的.
- 临床医生缺乏时间和知识,对推自助资源构成障碍.
- 自助资源可以帮助IBD患者收集信息,建立社区和自我管理.
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