对于结直肠癌查的数字健康干预措施的采用:一个范围审查
Sujin Kim1, Andrew J Whipkey2, Jihye Bae3
1Division of Biomedical Informatics, Department of Internal Medicine, College of Medicine, University of Kentucky, Lexington, Kentucky, United States of America.
PLOS digital health
|September 25, 2025
概括
数字健康干预措施显著提高了结直肠癌 (CRC) 查率. 定制的数字工具与人类支持相结合是有效的,特别是对于服务不足的群体,但需要长期的数据.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 预防癌症 预防癌症
背景情况:
- 数字健康干预 (DHI) 越来越多地用于改善结肠直肠癌 (CRC) 查.
- 现有的研究缺乏对DHI在不同人群和环境中的有效性的全面综合.
研究的目的:
- 进行范围审查,检查个人,上下文,技术和时间因素如何影响DHI试验中的CRC查结果.
- 确定有效的DHI策略和CRC查中的持续研究缺口.
主要方法:
- 在多个数据库 (PubMed,Google Scholar,ClinicalTrials.gov) 中按照PRISMA-ScR指南进行系统的文献搜索.
- 包括51项研究,使用PICOT框架绘制数据,并通过关键字共发生映射分析主题.
- 数据收集于2024年3月1日至4月20日,涵盖全球不同环境和干预持续时间.
主要成果:
- 定制的电话外展,邮寄的便免疫化学测试与导航,EMR提醒和个性化的移动应用程序等DHIs增加了CRC查率20.9%37.7%.
- 将数字工具与人类支持相结合的混合模型对服务不足的人群 (少数群体,农村,低健康素养) 显示出特别的有效性.
- 确定了关键的主题领域:以患者为中心的技术,行为设计,临床工作流程和公平/社区参与.
结论:
- DHI在增强CRC查方面是有效的,混合型号显示出对健康公平的承诺.
- 关于年轻成年人,长期可持续性,成本效益以及对时间干预方面的一致报告,仍然存在研究差距.
- 未来的研究应该集中在数字健康素养,实施和长期坚持,通过以用户为中心,可扩展和文化响应的数字解决方案.
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