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从移动健康干预措施的随机对照试验中吸取的五个经验教训:关于可持续研究的实用建议的共识程序。

Five Lessons Learned From Randomized Controlled Trials on Mobile Health Interventions: Consensus Procedure on Practical Recommendations for Sustainable Research.

机构信息

Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Institute for Complementary and Integrative Medicine, University of Zurich and University Hospital Zurich, Zurich, Switzerland.

出版信息

JMIR Mhealth Uhealth. 2021 Feb 8;9(2):e20630. doi: 10.2196/20630.

Abstract

BACKGROUND

Clinical research on mobile health (mHealth) interventions is too slow in comparison to the rapid speed of technological advances, thereby impeding sustainable research and evidence-based implementation of mHealth interventions.

OBJECTIVE

We aimed to establish practical lessons from the experience of our working group, which might accelerate the development of future mHealth interventions and their evaluation by randomized controlled trials (RCTs).

METHODS

This paper is based on group and expert discussions, and focuses on the researchers' perspectives after four RCTs on mHealth interventions for chronic pain.

RESULTS

The following five lessons are presented, which are based on practical application, increase of speed, and sustainability: (1) explore stakeholder opinions, (2) develop the mHealth app and trial simultaneously, (3) minimize complexity, (4) manage necessary resources, and (5) apply behavior change techniques.

CONCLUSIONS

The five lessons developed may lead toward an agile research environment. Agility might be the key factor in the development and research process of a potentially sustainable and evidence-based mHealth intervention.

摘要

背景

与快速的技术进步相比,移动健康 (mHealth) 干预措施的临床研究进展过于缓慢,从而阻碍了 mHealth 干预措施的可持续研究和基于证据的实施。

目的

我们旨在从我们工作组的经验中汲取实用经验,这可能会加速未来 mHealth 干预措施及其通过随机对照试验 (RCT) 的评估的发展。

方法

本文基于小组和专家讨论,重点关注了在四项针对慢性疼痛的 mHealth 干预措施的 RCT 后研究人员的观点。

结果

提出了以下五个基于实际应用、提高速度和可持续性的经验教训:(1)探索利益相关者的意见,(2)同时开发 mHealth 应用程序和试验,(3)最小化复杂性,(4)管理必要的资源,以及 (5)应用行为改变技术。

结论

开发的这五个经验教训可能会引领一个敏捷的研究环境。敏捷性可能是开发和研究潜在可持续和基于证据的 mHealth 干预措施的关键因素。

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