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基于互动式虚拟形象的教育应用提高心力衰竭患者知识和自我护理行为有效性的评价:一项实用型随机对照试验方案。

Evaluation of the effectiveness of an interactive avatar-based education application for improving heart failure patients' knowledge and self-care behaviours: A pragmatic randomized controlled trial protocol.

机构信息

College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.

出版信息

J Adv Nurs. 2018 Nov;74(11):2667-2676. doi: 10.1111/jan.13768. Epub 2018 Jul 30.

Abstract

AIM

The aim of this study was to evaluate the effectiveness of an avatar-based education application for improving knowledge and self-care behaviour in patients with heart failure (HF).

BACKGROUND

Avatar-based technologies for supporting education are an innovative approach for patients with low literacy, low health literacy and English as a second language. The use of avatar technologies for patient education has shown benefits in improving knowledge, self-care behaviours and quality of life in chronic diseases such as cancer, diabetes and depression. Research has demonstrated positive outcomes in clinical practice. However, the effectiveness of this technology has not been evaluated among patients with HF.

DESIGN

A multi-centred, non-blinded randomized, two-armed parallel pragmatic, controlled trial.

METHOD

Eighty-eight participants will be recruited from the HF clinics at three public hospitals and randomized into either control or intervention groups. The intervention group will receive the avatar-based education plus usual care. The control group will receive usual care. The primary outcome is HF knowledge, secondary outcomes include; improved self-care behaviours, readmission and satisfaction. Data will be collected at the baseline and at 1- and 3-month follow-ups.

DISCUSSION

This study will measure the effectiveness of avatar-based education on patients' knowledge and self-care behaviours following HF. The evidence will be evaluated in terms of the reduction in patients' readmission.

摘要

目的

本研究旨在评估基于虚拟形象的教育应用程序在提高心力衰竭(HF)患者知识和自我护理行为方面的有效性。

背景

支持教育的基于虚拟形象的技术是针对低识字率、低健康素养和英语为第二语言的患者的一种创新方法。在癌症、糖尿病和抑郁症等慢性病患者的教育中使用虚拟形象技术已显示出在提高知识、自我护理行为和生活质量方面的益处。临床实践已经证明了这种技术的积极成果。然而,这项技术在 HF 患者中的有效性尚未得到评估。

设计

一项多中心、非盲、随机、两臂平行实用、对照试验。

方法

将从三家公立医院的 HF 诊所招募 88 名参与者,并随机分为对照组或干预组。干预组将接受基于虚拟形象的教育加常规护理。对照组将接受常规护理。主要结局是 HF 知识,次要结局包括:自我护理行为改善、再入院和满意度。数据将在基线和 1 个月及 3 个月随访时收集。

讨论

本研究将衡量基于虚拟形象的教育对 HF 患者知识和自我护理行为的影响。将根据患者再入院率的降低来评估证据。

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