在低资源和高资源环境之间,对实施决定因素和战略调整模式的范围审查,用于预防中风复发的mHealth干预措施
Xiru Yu1,2, Jia Peng1, Hua Tong1
1Institute for Hospital Management, Tsinghua University, Shenzhen, China.
mHealth
|November 10, 2025
概括
针对中风预防的移动健康 (mHealth) 干预措施在各种资源设置中显示出不同的实施情况. 资源较少的环境显示,推策略的采用越来越多,突出了为改善全球中风预防制定定制政策的必要性.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 实施科学 实施科学
背景情况:
- 脑卒中复发是一个重大的全球健康挑战,需要有效的预防策略.
- 移动健康 (mHealth) 干预措施为二次中风预防提供了一个有希望的途径,但它们的实施在各种资源设置中是不一致的.
- 了解影响移动健康实施的因素对于全球优化中风复发预防至关重要.
研究的目的:
- 调查用于预防复发性中风的mHealth干预实施的决定因素.
- 分析在资源较低和资源较高的环境中实现战略对齐的模式.
- 在资源有限和资源充足的环境之间,确定实施决定因素和战略采用之间的差异.
主要方法:
- 从2013年1月到2023年12月,在六个数据库中进行了系统的文献搜索.
- 使用实施研究综合框架 (CFIR) 分析了实施决定因素,并使用实施变革专家建议 (ERIC) 分类法绘制了策略.
- 用策略与障碍调整的比较分析和统计测试来评估低资源和高资源设置之间的差异.
主要成果:
- 包括55项研究,其中一半以上是在低资源环境中进行的,主要使用智能手机应用程序和即时通讯.
- 关键的实施决定因素,如"相对优势"和"获取知识和信息",在资源较低的环境中更加突出,而"设计质量和包装"和"反思和评估"在资源较高的环境中更加突出.
- 低资源设置显示,与高资源设置相比,推的ERIC策略的采用率明显更高 (9.40对比每项研究的7.16匹配),尽管有类似的实施差距.
结论:
- 对于mHealth中风预防干预措施的实施决定因素和战略采用模式在低资源和高资源设置之间存在显著差异.
- 低资源环境显示,基于证据的实施策略的采用率显著增加.
- 制定特定背景的政策对于解决实施差距和提高中风预防干预措施的全球有效性至关重要.
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