Patient Acceptance of Educational Voice Messages: A Review of Controlled Clinical Studies

Patient Acceptance of Educational Voice Messages: A Review of Controlled Clinical Studies
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患者对教育性语音信息的接受度:对照临床研究的回顾

DOI:
10.1055/s-0038-1634453
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发表时间:
2002
影响因子:
1.7
通讯作者:
N. Maglaveras
N. Maglaveras
中科院分区:
医学4区
文献类型:
--
作者:
S. Krishna;E. Balas;S. Boren;N. Maglaveras

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目标概要:本研究的目的是评估基于计算机的自动电话信息技术对健康结果、成本节约和患者、护理人员和护理提供者接受程度的影响的对照证据。研究方法:对电子数据库进行了系统检索,以查找用于患者护理的自动电话消息的对照临床研究。根据以下三个标准选择研究:1)随机对照试验或对照试验; 2)患者在家中接受与医疗保健相关的教育、信息、建议或提醒,以便采取具体行动; 3)使用自动计算机电话技术传递信息。从研究中提取的信息包括有关机构、目标人群、干预措施及其对健康结果的影响、成本以及患者和护理人员的接受程度的信息。结果:共确定了19项研究进行审查。16项研究为随机对照试验,3项为非随机对照研究。研究分为两类,预防保健教育和慢性病护理研究。预防保健教育研究涉及儿童免疫接种、服药依从性、流感疫苗接种、肺结核和健康预防活动,慢性病保健研究涉及胆固醇、糖尿病、高血压和充血性心力衰竭。超过80%的研究表明,对可衡量的健康结果产生了重大影响。结论:受控证据证实了自动电话沟通在提高护理质量方面的有效性。教育性语音信息为患者所接受,是加强远程医疗和远程保健应用的一个重要机会。
Summary Objectives: The objective of this study was to evaluate controlled evidence on the impact of automated computer-based telephone messaging technology upon health outcomes, cost savings and acceptance by patients, caregivers and care providers. Methods: Systematic searches of electronic databases were conducted to find controlled clinical studies of automated phone messaging used in patient care. Studies were selected based on the three criteria: 1) randomized controlled trials or controlled trials; 2) patients receiving health care related education, information, advice or reminder for a specific action to be taken in their home setting; and 3) use of automated computer-based phone technology to deliver the messages. Information abstracted from studies included information about the institution, persons targeted, intervention and its effect on health outcomes, costs and acceptance by patients and caregivers. Results: A total of nineteen studies were identified for review. Sixteen studies were randomized controlled trials and three were controlled studies with no randomization. Studies were placed in two categories, preventive care education and chronic care studies. Preventive care education studies covered childhood immunizations, medication compliance, influenza vaccinations, tuberculosis and health prevention activities and chronic care studies were related to cholesterol, diabetes, hyper-tension and congestive heart failure. More than 80% of studies showed significant impact upon measurable health outcomes. Conclusions: Controlled evidence substantiates the efficacy of automated telephone communication in improving the quality of care. Educational voice messages are acceptable to patients and represent an important opportunity to enhance telemedicine and telehealth applications.
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