远程血压监测患者的行为经济框架:随机临床试验
Shivan J Mehta1,2,3, Joseph Teel4, Evelyn Okorie1,2
1Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
JAMA network open
|September 2, 2025
概括
与选择的方法相比,选择退出方法没有改善远程血压 (BP) 监测的入学率或参与率. 需要进一步的策略来增加患者参与高血压管理计划.
科学领域:
- 心血管医学
- 行为经济学
- 卫生信息学
背景情况:
- 远程血压监测对于高血压管理至关重要,但患者参与度和参与度较低,因此面临挑战.
- 传统的选择性招聘方法可能会限制这些重要计划的覆盖范围和有效性.
研究的目的:
- 在远程BP监测中比较选择退出行为经济方法与选择加入方法在改善注册和BP结果的有效性.
- 评估不同的招募策略是否可以提高患者参与高血压的管理.
主要方法:
- 一个实用,三臂随机临床试验,涉及424名高血压成年患者.
- 患者被随机分配到远程血压监测的选择性或选择性招募策略中,或接受通常的护理.
- 干预组包括6个月的基于短信的血压监测和支持.
主要成果:
- 在选择参与 (33.9%) 和选择退出 (37.5%) 两组中,招生率没有显著差异 (差异为3.6个百分点;P=.49).
- 在选择组和选择组之间,提交的血压测量数量或患者参与度没有显著差异.
- 与对照组相比,选择加入和选择退出组的血压比例有所改善,选择退出组的血压有统计学上显著的改善 (18. 0个百分点;P=. 003).
结论:
- 与选择的方法相比,选择退出行为经济方法并没有显著改善远程BP监测的入学或保留率.
- 虽然这两种监测策略都显示出好处,但研究结果表明需要新的方法来加强患者参与远程血压监测计划.
- 需要进一步的研究来确定有效的策略来增加远程高血压管理的参与.
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