数字健康干预措施对药物遵守的影响:系统性审查和元分析
Catherine McCabe1, Leona Connolly1, Mary Hughes1
1School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
Digital health
|January 28, 2026
概括
数字健康干预措施 (DHIs) 没有显著影响药物坚持. 需要进一步的研究,以了解长期影响和成功的DHI特征,以改善坚持.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 药物坚持研究 药物坚持研究
背景情况:
- 自主管理的数字健康干预措施 (DHIs) 显示了药物坚持的初步改善,但这些收益往往无法持续.
- 需要明确DHI对药物坚持的真正有效性以及有助于其成功的特定特征.
研究的目的:
- 评估与标准护理相比,DHI在支持社区成年人遵守药物的有效性.
- 确定影响DHI在促进持续药物服药的成功的因素.
主要方法:
- 在八个数据库中进行了系统的文献搜索,以寻找需要处方药的社区成年人 (18岁以上) 的DHI研究.
- 涉及1320名参与者的13项研究被纳入了随机效应元分析.
- 根据研究设计,干预时间和干预类型 (平台) 进行了子组分析.
主要成果:
- 总体的元分析没有发现DHIs对药物坚持的统计学意义上的影响.
- 亚组分析没有显示干预组中药物坚持度有任何增加.
- 在6个月持续的研究中,对照组观察到药物坚持度的小但显著增加.
结论:
- DHI对药物坚持的影响尚不清楚.
- 需要更严格的临床证据来确定DHIs对药物坚持的长期影响.
- 未来的研究应该探索不同的平台类型,并考虑人工智能驱动的诊断和分析的潜力.
相关概念视频
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.2K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.2K
Nursing Interventions I: Taxonomy of Nursing Interventions
3.7K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.7K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.2K
Random and Systematic Errors
14.8K
Scientists always try their best to record measurements with the utmost accuracy and precision. However, sometimes errors do occur. These errors can be random or systematic. Random errors are observed due to the inconsistency or fluctuation in the measurement process, or variations in the quantity itself that is being measured. Such errors fluctuate from being greater than or less than the true value in repeated measurements. Consider a scientist measuring the length of an earthworm using a...
14.8K
Directing Effect of Substituents: meta-Directing Groups
5.9K
Substituents on the benzene ring that direct an incoming electrophile to undergo substitution at the meta position are called meta directors. All meta directors either have a positive charge on the atom directly bonded to the ring or a partial positive charge. These groups function by withdrawing electrons from the ring through inductive and resonance effects. Consider the carbocation intermediates formed upon the addition of an electrophile on nitrobenzene at the...
5.9K


