Outcomes of a Mobile Phone Intervention for Heart Failure in a Minority County Hospital Population
Outcomes of a Mobile Phone Intervention for Heart Failure in a Minority County Hospital Population
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DOI：
10.1089/tmj.2016.0211
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发表时间：
2017-06-01
影响因子：
4.7
通讯作者：
Gomez-Marin, Orlando
中科院分区：
文献类型：
--
作者：
Dang, Stuti;Karanam, Chandana;Gomez-Marin, Orlando
背景：慢性心力衰竭(HF)导致显著的发病率、死亡率和费用。管理心力衰竭需要相当高的自我管理技能和自我效能。关于移动监测干预改善少数民族心力衰竭患者自我效能和生活质量的可行性和潜在影响的信息很少。材料和方法：我们开发了一个手机辅助的病例管理程序，并在2：1的随机对照试验中测试了其对少数民族心力衰竭患者预后的影响。结果：共纳入61名研究对象，其中干预42人，日常护理19人；平均年龄55岁+/-10岁；男性；西班牙裔白人75%；非裔美国人25%；高中及以下文化程度56%。从基线到3个月的变化比较，两组在慢性病管理自我效能感(2.09±-2.32，p值=0.005)、健康苦恼评定量表(-1.10+/-1.5，p值=0.017)、健康忧虑量表(-1.10+/-1.50，p值=0.017)等方面存在显著差异。和生活质量(生理角色，23.6+/-44.5，p值=0.042，一般健康，11.1+/-14.2，p值=0.012)。结论：基于手机的疾病管理计划有助于提高少数民族人群的自我护理效能和生活质量，并为缩小种族差异提供了一种方式。
Background:Chronic heart failure (HF) causes significant morbidity, mortality, and cost. Managing HF requires considerable self-management skills and self-efficacy. Little information exists about feasibility and potential impact of a mobile monitoring intervention to improve self-efficacy and quality of life (QoL) among minority patients with HF.Materials and Methods:We developed a mobile phone-assisted case management program and tested its impact on outcomes in minority patients with HF in a 2:1 randomized controlled trial. We evaluated self-care efficacy, knowledge, behavior, and QoL at baseline and 3 months.Results:We enrolled 61 participants: intervention 42, usual care 19; mean ageSD: 55 +/- 10 years; 64% male; 75% white Hispanic, 25% African American; and 56% high school education or less. Comparison of the two groups with respect to changes from baseline to 3 months showed significant differences for Self-Efficacy for Managing Chronic Disease (2.09 +/- 2.32, p-value=0.005); health distress scale (-1.1 +/- 1.5, p-value=0.017); and QoL (Role Physical, 23.6 +/- 44.5, p-value=0.042, and General Health, 11.1 +/- 14.2, p-value=0.012).Conclusions:A mobile phone-based disease management program may help improve self-care efficacy and QoL in a minority population and offers a modality to help reduce ethnic disparity.