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临床试验中对数字通信及症状报告方法的偏好与态度

Preferences and Attitudes Towards Digital Communication and Symptom Reporting Methods in Clinical Trials.

作者信息

McDowell Bryan, Dumais Kelly M, Gary Sarah Tressel, de Gooijer Ingeborg, Ward Tomás

机构信息

eCOA Science, Clario, Geneva, Switzerland.

eCOA Science, Clario, Philadelphia, PA, USA.

出版信息

Patient Prefer Adherence. 2025 Jan 30;19:255-263. doi: 10.2147/PPA.S474535. eCollection 2025.

Abstract

PURPOSE

With the growing use of digital health technologies (DHT) in clinical trials, the opportunity to use technology to promote greater patient centricity and inclusivity has emerged. Current technology provides various mechanisms for communication, eg, through voice or text, however, participant familiarity and preference for them is poorly understood. The purpose of this study was to understand participants' communication preferences, their comfort with and use of messaging methods and their attitudes towards different communication and technology-driven symptom reporting methods in clinical trials.

PARTICIPANTS AND METHODS

Fifty-five participants, with any form of chronic health condition or recent intervention causing daily pain or discomfort were recruited by way of convenience sample for a single-centre, non-interventional, single-visit study, conducted in Ireland. Participants completed a questionnaire on communications preferences via an app on the participants' own electronic device.

RESULTS

In communication with friends and family, 69.6% of participants most preferred to use a messaging service. In communication with their healthcare provider, 72.7% preferred phone calls. Respondents preferred to communicate with friends/family via text messages (80.4%) over other methods. In clinical trial settings, participants are willing to use messaging methods to communicate with their physician. When reporting symptoms, most preferred a phone/video call to physicians (50.9%) and touch screen on device/smartphone (47.3%). 72.7% preferred to report symptoms using their own phone. Some respondents were interested in having the device read the questions/answers aloud (36.4%) and answer questions verbally (41.8%).

CONCLUSION

Participants were familiar with various communication methods but showed different preferences to communicate with friends and family versus healthcare professionals. For reporting symptoms in a clinical trial while at home, split results suggested a preference for independent reporting as well as live communication with physician, perhaps reflecting the rising use of telehealth. Further exploration is needed for the use of questions read aloud or answered verbally when reporting symptoms in a clinical trial.

摘要

目的

随着数字健康技术(DHT)在临床试验中的使用日益增加,利用技术促进更高的患者中心性和包容性的机会已经出现。当前的技术提供了各种通信机制,例如通过语音或文本,然而,参与者对它们的熟悉程度和偏好却知之甚少。本研究的目的是了解参与者的通信偏好、他们对消息传递方法的舒适度和使用情况,以及他们对临床试验中不同通信和技术驱动的症状报告方法的态度。

参与者与方法

通过便利抽样招募了55名参与者,他们患有任何形式的慢性健康状况或近期干预导致每日疼痛或不适,在爱尔兰进行了一项单中心、非干预性、单次就诊的研究。参与者通过自己电子设备上的应用程序完成了一份关于通信偏好的问卷。

结果

在与朋友和家人的通信中,69.6%的参与者最喜欢使用消息服务。在与医疗保健提供者的通信中,72.7%的人更喜欢打电话。受访者更喜欢通过短信(80.4%)而不是其他方式与朋友/家人通信。在临床试验环境中,参与者愿意使用消息传递方法与他们的医生通信。在报告症状时,大多数人更喜欢与医生进行电话/视频通话(50.9%)和使用设备/智能手机上的触摸屏(47.3%)。72.7%的人更喜欢使用自己的手机报告症状。一些受访者对让设备大声朗读问题/答案(36.4%)和口头回答问题(41.8%)感兴趣。

结论

参与者熟悉各种通信方法,但在与朋友和家人以及医疗保健专业人员通信时表现出不同的偏好。对于在家中进行临床试验时报告症状,不同的结果表明既倾向于独立报告,也倾向于与医生进行实时通信,这可能反映了远程医疗使用的增加。在临床试验中报告症状时使用大声朗读或口头回答问题的情况需要进一步探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa23/11789515/ad42d9ef1c4b/PPA-19-255-g0001.jpg

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