在接受甲状腺激素替代疗法的患者中,促进药物坚持的促进因素,障碍物和干预策略:混合方法系统审查
Huiting Gao1, Huan Chen1, Xinyu Chen1
1Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan.
Journal of the American Pharmacists Association : JAPhA
|February 12, 2026
概括
优化甲状腺激素替代疗法 (THRT) 坚持要求解决环境,社会和知识障碍. 诸如社会支持和有效的医生沟通等干预措施可以改善患者在甲状腺功能低下症管理中的结果.
科学领域:
- 内分泌学 在内分泌学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 甲状腺激素替代疗法 (THRT) 对于低甲状腺症的治疗至关重要,需要终身坚持.
- 关于影响THRT坚持和有效干预的因素的证据有限.
研究的目的:
- 使用能力,机会,动机-行为 (COM-B) 模型和理论领域框架 (TDF) 识别THRT遵守的障碍和促进者.
- 将行为改变技术 (BCT) 映射到TDF领域,以进行有针对性的干预.
主要方法:
- 44项研究的混合方法系统审查,通过COM-B和TDF框架分析障碍和促进者.
- 使用混合方法评估工具 (MMAT) 进行质量评估.
主要成果:
- 坚持THRT的主要障碍包括环境背景,社会影响,知识差距,对后果的信念和社会/专业角色.
- 确定的有效BCT包括社会支持,多层次护理和医生沟通,针对特定的TDF领域.
结论:
- 需要基于理论的多方面的策略来改善THRT的坚持.
- 未来的研究应该在不同的人群和现实世界的环境中验证这些策略.
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