医院后行为干预措施的可行性和可用性,以改善退伍军人的流动性
Jacqueline A Benson1, Matthew Wilson1, Aidan J Flynn1,2
1Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
概括
一项试点研究发现,在老年退伍军人住院后增加每日步骤的行为干预是可行的,但并没有显著改善流动性. 需要进一步的研究来提高干预措施的可接受性和有效性.
科学领域:
- 老年学是一门学科.
- 行为经济学是一种行为经济学.
- 康复医学 康复医学 康复医学
背景情况:
- 身体功能受损是老年人再入院的主要风险因素.
- 住院后的干预措施对于改善流动性和降低再接收率至关重要.
- 行为经济学的原则可以用来鼓励促进健康的行为.
研究的目的:
- 评估医院后行为干预措施的可用性和可行性,旨在提高具有显著发病率的老年人的流动性.
- 评估干预对接受家庭医疗服务的退伍军人每日步数和医院利用率的影响.
主要方法:
- 进行了一项双臂实用试点随机试验,该试验涉及60岁以上的退伍军人,他们在退伍后接受家庭医疗服务.
- 干预组接受了一项基于行为经济学的多组分干预 (每日步骤目标,反,社会激励,计步器).
- 对照组使用步计接受了通常的护理;在两组中,使用ActivPAL设备持续监测活动.
主要成果:
- 可行性有限,在37名同意退伍军人中,只有16人完成了这项研究.
- 两组每天都增加了步数,但干预组和对照组之间没有显著差异 (P=.18).
- 参与者对计步器的满意度很高,这些计步器提供了比ActivPAL设备更完整的数据.
结论:
- 行为干预显示出潜力,但需要修改以提高老年人的可行性和可接受性.
- 参与者更喜欢基于计步器的干预措施,并为监测日常步骤提供更完整的数据.
- 需要进行更大规模的研究,以严格评估此类干预措施在改善流动性和减少再入院的有效性.
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