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患有慢性病的成年人的健康状况:改善患者报告结局的干预策略。

Health Status in Adults With Chronic Conditions: Intervention Strategies for Improving Patient-Reported Outcomes.

作者信息

Selim Alfredo J, Qian Shirley X, Rogers William, Arya Deepa, Simmons Kimberly, Shapiro Gabriel D, Sonis Lily A, Kazis Lewis E

机构信息

Center for Health Quality, Outcomes, and Economic Research, VA Medical Center, Bedford, Massachusetts (Drs Selim and Kazis and Ms Qian); Health Outcomes Unit and the Center for the Assessment of Pharmaceutical Practices, and the Department of Health Law, Policy and Management, Boston University School of Public Health, Massachusetts (Drs Selim, Rogers, and Kazis and Mss Simmons and Sonis); Section of General Internal Medicine and Emergency Services, Boston VA Health Care System, West Roxbury, Massachusetts, and Boston University School of Medicine Massachusetts (Dr Selim); FDA Center for Biologics Evaluation and Research, Silver Spring, Maryland (Dr Arya); and McGill University, Montreal, Quebec, Canada (Dr Shapiro).

出版信息

J Ambul Care Manage. 2019 Jan/Mar;42(1):2-20. doi: 10.1097/JAC.0000000000000262.

Abstract

This literature review analyzes 418 articles from 2 periods (2000-2010 and 2011-2017) to provide interpretative guidelines for the change in physical (PCS) and mental component summaries (MCS) of well-established patient-reported measures (MOS SF-36 V1, HOS SF-12, VR-36, and VR-12). The magnitude of the intervention effects was calculated using baseline and follow-up data. Results were similar across the 2 periods, although the effects of social and behavioral interventions are less consistent and are smaller for PCS. Both single interventions and multicomponent interventions met the moderate to large effect size criterion for PCS and MCS.

摘要

这篇文献综述分析了来自两个时期(2000 - 2010年和2011 - 2017年)的418篇文章,以提供关于成熟的患者报告测量工具(MOS SF - 36 V1、HOS SF - 12、VR - 36和VR - 12)的身体(PCS)和心理成分总结(MCS)变化的解释性指南。使用基线和随访数据计算干预效果的大小。尽管社会和行为干预的效果不太一致,且对PCS的影响较小,但两个时期的结果相似。单一干预和多成分干预均达到了PCS和MCS的中等到大效应量标准。

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