使用平板电脑提高患者对电子个人健康记录的参与度：一项前瞻性随机干预研究方案
Using Tablet Computers to Increase Patient Engagement With Electronic Personal Health Records: Protocol For a Prospective, Randomized Interventional Study.
作者信息
Greysen S Ryan, Magan Mendoza Yimdriuska, Rosenthal Jaime, Jacolbia Ronald, Rajkomar Alvin, Lee Herman, Auerbach Andrew
机构信息
University of California, San Francisco, Division of Hospital Medicine, San Francisco, CA, United States.
出版信息
JMIR Res Protoc. 2016 Sep 6;5(3):e176. doi: 10.2196/resprot.4672.
BACKGROUND
Inadequate patient engagement in care is a major barrier to successful transitions from the inpatient setting and can lead to preventable adverse events after discharge, particularly for older adults. While older adults may be less familiar with mobile devices and applications, they may benefit from focused bedside training to engage them in using their Personal Health Record (PHR). Mobile technologies such as tablet computers can be used in the hospital to help bridge this gap in experience by teaching older, hospitalized patients to actively manage their medication list through their PHR during hospitalization and continue to use their PHR for other post-discharge tasks such as scheduling follow-up appointments, viewing test results, and communicating with providers. Bridging this gap is especially important for older, hospitalized adults as they are at higher risk than younger populations for low engagement in transitions of care and poor outcomes such as readmission. Greater understanding of the advantages and limitations of mobile devices for older adults may be important for improving transitions of care.
OBJECTIVE
To better understand the effective use of mobile technologies to improve transitions in care for hospitalized, older adults and leverage these technologies to improve inpatient and postdischarge care for older adults.
METHODS
We will compare an intervention group with tablet-based training to engage effectively with their PHR to a control group also receiving tablets and basic access to their PHR but no additional training on how to engage with their PHR.
RESULTS
Patient enrollment is ongoing.
CONCLUSIONS
Through this grant, we will further develop our preliminary dataset and practical experience with these mobile technologies to catalyze patient engagement during hospitalization.
CLINICALTRIAL
ClinicalTrials.gov NCT02109601; https://clinicaltrials.gov/ct2/show/NCT02109601 (Archived by WebCite at http://www.webcitation.org/6jpXjkwM8).
背景
患者在医疗护理过程中的参与度不足是成功从住院环境过渡的主要障碍，可能导致出院后出现可预防的不良事件，尤其是对老年人而言。虽然老年人可能对移动设备和应用不太熟悉，但他们可能会从专注的床边培训中受益，从而参与使用个人健康记录（PHR）。平板电脑等移动技术可在医院中使用，通过教导住院的老年患者在住院期间通过PHR积极管理其用药清单，并在出院后继续使用PHR完成其他任务，如安排随访预约、查看检查结果以及与医护人员沟通，来帮助弥合这种经验差距。弥合这一差距对住院的老年人尤为重要，因为他们比年轻人群在护理过渡中参与度低和出现再入院等不良后果的风险更高。更好地了解移动设备对老年人的优势和局限性可能对改善护理过渡很重要。
目的
为了更好地理解移动技术在改善住院老年患者护理过渡方面的有效应用，并利用这些技术改善老年患者的住院和出院后护理。
方法
我们将把接受基于平板电脑培训以有效使用其PHR的干预组与同样接收平板电脑并可基本访问其PHR但未接受关于如何使用PHR的额外培训的对照组进行比较。
结果
患者招募正在进行中。
结论
通过这项资助，我们将进一步开发我们的初步数据集以及在这些移动技术方面的实践经验，以促进住院期间患者的参与度。
临床试验
ClinicalTrials.gov NCT02109601；https://clinicaltrials.gov/ct2/show/NCT02109601（由WebCite存档于http://www.webcitation.org/6jpXjkwM8）
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