Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.
J Am Med Inform Assoc. 2019 Nov 1;26(11):1385-1388. doi: 10.1093/jamia/ocz131.
Mobile health (mHealth) interventions have demonstrated promise in improving outcomes by motivating patients to adopt and maintain healthy lifestyle changes as well as improve adherence to guideline-directed medical therapy. Early results combining behavioral economic strategies with mHealth delivery have demonstrated mixed results. In reviewing these studies, we propose that the success of a mHealth intervention links more strongly with how well it connects patients back to routine clinical care, rather than its behavior modification technique in isolation. This underscores the critical role of clinician-patient partnerships in the design and delivery of such interventions, while also raising important questions regarding long-term sustainability and scalability. Further exploration of our hypothesis may increase opportunities for multidisciplinary clinical teams to connect with and engage patients using mHealth technologies in unprecedented ways.
移动医疗(mHealth)干预措施已被证明可以通过激励患者采用和维持健康的生活方式改变以及提高对指南指导的医学治疗的依从性来改善结果。将行为经济学策略与 mHealth 交付相结合的早期结果显示出混合结果。在审查这些研究时,我们提出,mHealth 干预措施的成功与其将患者与常规临床护理联系起来的程度密切相关,而不仅仅是其行为改变技术本身。这凸显了临床医生-患者伙伴关系在设计和提供此类干预措施中的关键作用,同时也提出了有关长期可持续性和可扩展性的重要问题。进一步探讨我们的假设可能会为多学科临床团队提供更多机会,以使用 mHealth 技术以前所未有的方式与患者建立联系并吸引患者。