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面向老年住院患者的 myHealthHub 以减少孤独感,提高患者参与度和改善心理健康:一项试点随机对照试验方案。

myHealthHub for older adult inpatients to reduce loneliness, and improve patient engagement and mental health: protocol of a pilot randomized controlled trial.

机构信息

Department of Psychiatry, Jewish General Hospital/Lady Davis Institute, McGill University, Montreal, QC, Canada.

Healthhub Patient Engagement Solutions, ON, Canada.

出版信息

Aging Ment Health. 2024 Apr;28(4):646-651. doi: 10.1080/13607863.2023.2265841. Epub 2023 Oct 13.

DOI:10.1080/13607863.2023.2265841
PMID:37830771
Abstract

OBJECTIVES

Older Canadian adults make up 85% of hospital stays which are associated with increased loneliness, stress, anxiety, and/or depression. There is a need for novel approaches to reduce loneliness and mental health outcomes in older adult hospital inpatients to prevent further strain on an already overwhelmed healthcare system.

METHODS

This is a pilot randomized controlled trial (RCT) exploring the efficacy of a bedside multimodal interaction system, myHealthHub, on loneliness, quality of life (QOL), patient engagement, and other mental health outcomes compared to an active control group in older adult inpatients ( = 60) from baseline to 5-days. Qualitative analyses will be conducted through semi-structured interviews with older adults ( = 8-10) and hospital staff, nurses, and clinicians ( = 4-5) facilitating the service to evaluate patient engagement and experience with myHealthHub.

RESULTS

Not applicable.

CONCLUSION

This novel pilot clinical trial will obtain preliminary data on the efficacy of myHealthHub in reducing loneliness, QOL, patient engagement, and mental health outcomes in older adult inpatients. If successful, this could provide a potential means to improve patient experience in hospitals and reduce the burden and additional expense on the healthcare system.

摘要

目的

加拿大老年人占住院患者的 85%,他们往往会感到孤独、压力大、焦虑和/或抑郁。因此,需要一种新方法来减少老年住院患者的孤独感和改善心理健康状况,以防止本已不堪重负的医疗系统承受更大的压力。

方法

这是一项探索床边多模式交互系统 myHealthHub 对孤独感、生活质量(QOL)、患者参与度以及其他心理健康结果影响的试点随机对照试验(RCT),与活跃对照组相比,myHealthHub 可用于比较老年住院患者( = 60)的基线至 5 天的结果。通过对 8-10 名老年患者和 4-5 名医院工作人员、护士和临床医生进行半结构化访谈,对服务进行定性分析,以评估患者对 myHealthHub 的参与度和体验。

结果

不适用。

结论

这项新颖的试点临床试验将获得 myHealthHub 对减少老年住院患者孤独感、QOL、患者参与度和心理健康结果的疗效的初步数据。如果成功,这可能为改善医院患者体验和减轻医疗系统的负担和额外费用提供一种潜在手段。

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