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eHealthResp,一种改善呼吸道感染抗生素处方的数字干预措施:一项试点研究。

eHealthResp, a Digital Intervention to Improve Antibiotic Prescribing in Respiratory Infections: A Pilot Study.

作者信息

Silva Tânia Magalhães, Estrela Marta, Magalhães Sandra, Simões Catarina, Cachim Afonso, Costa Tainá, Crexinski Gabriella, Almeida Margarida Pisco, Figueiras Adolfo, Roque Fátima, Herdeiro Maria Teresa

机构信息

iBiMED-Institute of Biomedicine, Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.

Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.

出版信息

Life (Basel). 2022 Jul 30;12(8):1160. doi: 10.3390/life12081160.

Abstract

The emergence of antibiotic resistance (ABR) is one of the most serious public health threats worldwide. The inappropriate use of antibiotics is considered the main determinant for the increase and development of ABR, contributing to a greater risk of therapeutic ineffectiveness, particularly within primary care context. Therefore, this pilot study aims to raise awareness and promote an adequate antibiotic use among physicians, through the evaluation of the eHealthResp platform, a digital intervention composed by an online course and a mobile application, to aid in the management of respiratory tract infections. The global validation of the eHealthResp platform was carried out by 12 physicians who explored and performed a quantitative and qualitative evaluation of the contents of the online course and mobile app. The global evaluation of the analyzed parameters was very positive, with the highest median scores being attributed to adequacy, correction, format, and trust of the eHealthResp platform. The qualitative feedback enhanced the contents' relevance, clarity, and consolidation, as well as the effectiveness of the educational intervention against ABR. Overall, this study revealed that the eHealthResp may be regarded as an important e-health tool for the management of respiratory tract infections and improvement of antibiotic prescription practices among physicians.

摘要

抗生素耐药性(ABR)的出现是全球最严重的公共卫生威胁之一。抗生素的不当使用被认为是ABR增加和发展的主要决定因素,会导致治疗无效的风险更高,尤其是在初级保健环境中。因此,这项试点研究旨在通过评估eHealthResp平台提高医生的认识并促进其合理使用抗生素。eHealthResp平台是一种数字干预措施,由一门在线课程和一个移动应用程序组成,用于辅助呼吸道感染的管理。12名医生对eHealthResp平台进行了全面验证,他们对在线课程和移动应用程序的内容进行了定量和定性评估。对分析参数的全面评估非常积极,eHealthResp平台在充分性、正确性、形式和可信度方面获得了最高的中位数分数。定性反馈增强了内容的相关性、清晰度和巩固性,以及针对ABR的教育干预的有效性。总体而言,这项研究表明,eHealthResp可被视为管理呼吸道感染和改善医生抗生素处方实践的重要电子健康工具。

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