Lavelle Meghan B, Finkelstein Stanley M, Lindgren Bruce R, Lindquist Ruth, Robiner William N, MacMahon Kathleen, VanWormer Arin M
University of Minnesota, Minneapolis, USA.
Prog Transplant. 2010 Dec;20(4):329-34. doi: 10.1177/152692481002000405.
Newsletters are a common intervention for patients in clinical trials. However, it is not clear whether newsletters are associated with increased adherence to the health regimen, and if so, which aspects of the newsletter are reported as most helpful to patients.
To examine the association between patients' ratings of worthwhileness of a quarterly newsletter and adherence with a home spirometry regimen.
Patients (n=48) were in a research-based spirometry program after lung transplant and had received at least 1 newsletter; 24 (50%) returned completed surveys via postal mail.
Adherence for forced vital pulmonary function tests for respondents versus nonrespondents, number of weeks they were adherent, ratings they gave the newsletter, and which components of the newsletters were helpful to the respondents.
Respondents had more forced vital capacity pulmonary function tests ("blows") overall, blew more times weekly, and blew more consistently from week to week than did nonrespondents. Although it was not statistically significant, a mild correlation was found between the number of weeks that the respondents were adherent and their ratings of the newsletter (r = 0.36, P = .08). Most respondents reported that newsletter length was "about right", and 86% reported that newsletters helped encourage regular spirometer use, maintain interest in the study, educate about general health, and alert readers to seasonal health risks.
High ratings for newsletters used to encourage participation among adults in our home spirometry study were associated with higher adherence.
时事通讯是临床试验中对患者常用的干预措施。然而，尚不清楚时事通讯是否与提高健康方案的依从性相关，若相关，时事通讯的哪些方面对患者最有帮助也尚不明确。
探讨患者对季刊时事通讯价值的评分与家庭肺功能测定方案依从性之间的关联。
48名患者参与了一项基于研究的肺移植后肺功能测定项目，且至少收到过1份时事通讯；其中24名（50%）通过邮寄方式返回了完整的调查问卷。
回复者与未回复者的用力肺活量肺功能测试依从性、他们保持依从的周数、对时事通讯的评分，以及时事通讯的哪些内容对回复者有帮助。
总体而言，回复者进行的用力肺活量肺功能测试（“吹气”）次数更多，每周吹气次数更多，且每周吹气的连贯性比未回复者更好。尽管无统计学意义，但在回复者保持依从的周数与其对时事通讯的评分之间发现了微弱的相关性（r = 0.36，P = 0.08）。大多数回复者表示时事通讯的长度“恰到好处”，86%的回复者称时事通讯有助于鼓励定期使用肺功能仪、保持对研究的兴趣、开展一般健康知识教育，以及提醒读者注意季节性健康风险。
在我们的家庭肺功能测定研究中，用于鼓励成年人参与的时事通讯获得的高评分与更高的依从性相关。
