Making the Most of Your Healthcare intervention for older adults with multiple chronic illnesses
Making the Most of Your Healthcare intervention for older adults with multiple chronic illnesses
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DOI：
10.1016/j.pec.2010.01.018
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发表时间：
2010-11-01
影响因子：
3.5
通讯作者：
Stevens, Alan
中科院分区：
文献类型：
--
作者：
Hochhalter, Angela K.;Song, Juhee;Stevens, Alan
目的：本研究测试了患者参与干预对患有多种慢性病的老年人的有效性。方法：79 名参与者被随机分配接受干预（干预组）、不同主题的接触（安全组）或常规护理。干预和安全小组参加了为期 2 小时的研讨会并参加了电话会议：一次是在自然发生的医疗事故之前，另一次是在自然发生的医疗事故之后。干预小组讨论了公开分发内容中的患者参与概念。安全小组讨论了一般安全（例如消防安全、身份盗窃）。通过电话访谈收集基线和基线后 6 个月的自我报告测量结果。结果：我们没有发现患者的积极性和健康相关的生活质量出现预期的改善。然而，干预组是唯一在自我管理的自我效能方面显示出统计上显着改善的组。结论：干预措施显示出改善生活质量和/或健康的希望，但需要改进以覆盖尚未参与医疗保健的人并加强其效果。实践意义：以患者为导向的技能培训干预措施可能是支持临床医生和其他人鼓励老年患者积极参与护理的成功方法。 (C) 2010 Elsevier Ireland Ltd. 保留所有权利。
Objective: This study tested the efficacy of a patient engagement intervention for older adults with multiple chronic illnesses.Methods: Seventy-nine participants were randomly assigned to receive the intervention (Intervention Group), contacts on a different topic (Safety Group), or Usual Care. The Intervention and Safety Groups attended a 2-h workshop and participated in phone calls: one before and one after a naturally-occurring medical encounter. The Intervention Group discussed patient engagement concepts from publicly distributed content. The Safety Group discussed general safety (e.g., fire safety, identity theft). Self-report measures were gathered by telephone interview at Baseline and 6-months following Baseline.Results: We did not find expected improvements in patient activation and health-related quality of life. However, the Intervention Group was the only group to show a statistically significant improvement in self-efficacy for self-management.Conclusion: The intervention shows promise for improving quality of life and/or health, but requires refinement to reach persons not already engaged in their healthcare and to strengthen its effects.Practice implications: Patient-directed skills training interventions may be a successful way to support clinicians' and others' efforts to encourage older patients to be actively involved in their care. (C) 2010 Elsevier Ireland Ltd. All rights reserved.