Gleason-Comstock Julie A, Streater Alicia, Jen Kai-Lin Catherine, Artinian Nancy T, Timmins Jessica, Baker Suzanne, Joshua Bosede, Paranjpe Aniruddha
Department of Family Medicine & Public Health Services and Center for Urban Studies, Wayne State University, Detroit, USA.
Patient Educ Couns. 2013 Dec;93(3):464-71. doi: 10.1016/j.pec.2013.07.010. Epub 2013 Aug 12.
To explore the feasibility and short term outcomes of using an interactive kiosk integrated into office flow to deliver health information in a primary care clinic.
Fifty-one adults with BMI ≥25 were randomly assigned to use a kiosk with attached devices to receive a six-week healthy eating/weight monitoring (intervention) or general health/BP monitoring (attention-control) program. Outcomes were measured at baseline, 8 weeks (post) and three month follow-up.
Participants completed an average of 2.73 weekly sessions, with transportation and time given as limiting factors. They found the kiosk easy to use (97%), liked the touchscreen (94%), and would use the kiosk again (81%). Although there were no differences between groups, the 27 completing all assessments showed reduced weight (p=.02), and decreased systolic (p=.01) and diastolic BP (p<.001) at follow-up. Although healthy eating behaviors increased, the change was not statistically significant.
Using a kiosk within a clinic setting is a feasible method of providing health information and self-monitoring. Multi-session educational content can provide beneficial short-term outcomes in overweight adults.
A kiosk with attached peripherals in a clinic setting is a viable adjunct to provider education, particularly in medically underserved areas.
探讨在基层医疗诊所将交互式信息亭融入办公流程以提供健康信息的可行性和短期效果。
51名体重指数（BMI）≥25的成年人被随机分配使用配有附属设备的信息亭，接受为期六周的健康饮食/体重监测（干预）或一般健康/血压监测（注意力控制）项目。在基线、8周（后）和三个月随访时测量结果。
参与者平均每周完成2.73次疗程，交通和时间被视为限制因素。他们发现信息亭易于使用（97%），喜欢触摸屏（94%），并愿意再次使用信息亭（81%）。尽管两组之间没有差异，但完成所有评估的27人在随访时体重减轻（p = 0.02），收缩压（p = 0.01）和舒张压（p < 0.001）下降。尽管健康饮食行为有所增加，但变化无统计学意义。
在诊所环境中使用信息亭是提供健康信息和自我监测的可行方法。多疗程教育内容可为超重成年人带来有益的短期效果。
诊所环境中配有附属外围设备的信息亭是提供者教育的可行辅助手段，特别是在医疗服务不足的地区。
