远程访问女性退伍军人尿失禁治疗方法:实用随机临床试验
Alayne D Markland1,2,3, Karen M Goldstein4,5, T Mark Beasley1,2
1Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama, and Atlanta, Georgia.
JAMA network open
|September 16, 2025
概括
在女性退伍军人中,尿失禁 (UI) 的移动健康应用程序比视频访问更快地改善了症状. 辅助视频访问对任何一组的治疗结果都没有改善.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 数字健康数字健康
- 行为医学是一种行为医学.
背景情况:
- 行为治疗是尿失禁 (UI) 的一线治疗方法.
- 对于一些人群,例如女性退伍军人,获得UI行为治疗的个人护理可能是有限的.
研究的目的:
- 为了比较两种远程行为治疗UI的有效性:移动健康应用程序和视频访问.
- 评估是否增强视频访问改善了对最初远程治疗没有反应的患者的结果.
主要方法:
- 一个连续的,多重分配的随机临床试验,涉及女性退伍军人UI.
- 参与者被随机分配到移动健康UI应用程序 (MyHealtheBladder) 或单次视频访问.
- 一小部分不响应者接受了随机增强视频访问.
主要成果:
- 与视频访问组相比,UI应用组在12周内显示出UI症状在统计学上显著地减少.
- 用UI应用程序干预在4周内达到症状改善的临床重要差异最低值,而视频访问组需要24周.
- 在任何一组的非响应者中,辅助视频访问都没有导致UI症状的进一步改善.
结论:
- 与女性退伍军人视频访问相比,移动健康应用程序可能会更快地改善UI症状.
- 增强视频访问在改善非响应者UI症状方面没有效果.
- 行为UI治疗的远程交付显示了扩大获得护理的前景.
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