The SMART personalised self-management system for congestive heart failure: results of a realist evaluation.
The SMART personalised self-management system for congestive heart failure: results of a realist evaluation.
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DOI：
10.1186/s12911-014-0109-3
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发表时间：
2014-11-25
影响因子：
3.5
通讯作者：
Mawson S
中科院分区：
文献类型：
--
作者：
Bartlett YK;Haywood A;Bentley CL;Parker J;Hawley MS;Mountain GA;Mawson S
技术有潜力为充血性心力衰竭 (CHF) 患者的自我管理提供支持。本文描述了针对 CHF 的 SMART 个性化自我管理系统 (PSMS) 的现实评估结果。七名患有 CHF 的患者在家中使用了 PSMS。描述系统使用和可用性的数据以及问卷和访谈数据根据现实评估中不可或缺的背景、机制和结果假设（CMO）进行评估。 CHF PSMS 通过提供信息和测验，提高了基线知识水平较低的人的心力衰竭相关知识。此外，参与者认为 CHF PSMS 的自我调节方面对于鼓励日常步行很有用。 CMO 进行了修订，以描述使用背景以及这如何影响机制和结果。尽管存在一些技术问题，CHF 参与者还是参与了 PSMS。观察到对知识的一些积极影响以及帮助改变身体活动行为的潜力。对 CHF 的了解和体力活动行为改变是 CHF 的重要自我管理目标，本研究为指导进一步开发支持这些目标的技术提供了证据。本文的在线版本 (doi:10.1186/s12911-014-0109-3) 包含补充材料，可供授权用户使用。
Technology has the potential to provide support for self-management to people with congestive heart failure (CHF). This paper describes the results of a realist evaluation of the SMART Personalised Self-Management System (PSMS) for CHF. The PSMS was used, at home, by seven people with CHF. Data describing system usage and usability as well as questionnaire and interview data were evaluated in terms of the context, mechanism and outcome hypotheses (CMOs) integral to realist evaluation. The CHF PSMS improved heart failure related knowledge in those with low levels of knowledge at baseline, through providing information and quizzes. Furthermore, participants perceived the self-regulatory aspects of the CHF PSMS as being useful in encouraging daily walking. The CMOs were revised to describe the context of use, and how this influences both the mechanisms and the outcomes. Participants with CHF engaged with the PSMS despite some technological problems. Some positive effects on knowledge were observed as well as the potential to assist with changing physical activity behaviour. Knowledge of CHF and physical activity behaviour change are important self-management targets for CHF, and this study provides evidence to direct the further development of a technology to support these targets. The online version of this article (doi:10.1186/s12911-014-0109-3) contains supplementary material, which is available to authorized users.
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影响因子：
1.9
作者：
Dickson VV;Nocella J;Yoon HW;Hammer M;Melkus GD;Chyun D
通讯作者：
Chyun D
DOI：
10.3109/17483107.2013.840863
发表时间：
2014-01-01
影响因子：
2.2
作者：
Mawson, Susan;Nasr, Nasrin;Mountain, Gail
通讯作者：
Mountain, Gail
制定和评估复杂的干预措施：新的医学研究委员会指南。
DOI：
10.1136/bmj.a1655
发表时间：
2008-09-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
通讯作者：
Medical Research Council Guidance
DOI：
10.1016/j.ijmedinf.2009.08.008
发表时间：
2009-12-01
影响因子：
4.9
作者：
Oroviogoicoechea, Cristina;Watson, Roger
通讯作者：
Watson, Roger
DOI：
10.3109/17483107.2013.845611
发表时间：
2014-01-01
影响因子：
2.2
作者：
Parker, Jack;Mawson, Susan;Zheng, Huiru
通讯作者：
Zheng, Huiru