Healthcare via Cell Phones: A Systematic Review
Healthcare via Cell Phones: A Systematic Review
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DOI：
10.1089/tmj.2008.0099
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发表时间：
2009-04-01
期刊：
影响因子：
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通讯作者：
Balas, E. Andrew
中科院分区：
文献类型：
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作者：
Krishna, Santosh;Boren, Suzanne Austin;Balas, E. Andrew
定期护理和信息支持有助于改善与疾病相关的健康结果。通信技术可以帮助提供这样的护理和支持。这项研究的目的是评估与手机和短信干预在改善健康结果和护理过程中的作用相关的经验证据。搜索科学文献以确定评估手机、语音和短信干预以提供护理和疾病管理支持的对照研究。搜索确定了25项评估手机语音和短信干预的研究，其中20项随机对照试验和5项对照研究。19项研究评估了护理结果，6项评估了护理过程。选定的研究包括38,060名参与者，其中包括10,374名成年人和27,686名儿童。他们覆盖了12个临床领域，在13个国家进行。传递信息的频率从每天5次糖尿病和戒烟支持到每周一次关于如何克服障碍和保持定期体力活动的建议。服药依从性、哮喘症状、糖化血红蛋白、压力水平、戒烟率和自我效能均有显著改善。据报道，在减少预约失败、更快的诊断和治疗以及改进教学和培训方面，流程有所改善。每条短信的成本由两项研究提供。这一发现表明，通过提醒、疾病监测和管理以及通过手机语音和短信服务进行教育来加强标准护理，可以帮助改善健康结果和护理过程，这对患者和提供者都有影响。
Regular care and informational support are helpful in improving disease-related health outcomes. Communication technologies can help in providing such care and support. The purpose of this study was to evaluate the empirical evidence related to the role of cell phones and text messaging interventions in improving health outcomes and processes of care. Scientific literature was searched to identify controlled studies evaluating cell phone voice and text message interventions to provide care and disease management support. Searches identified 25 studies that evaluated cell phone voice and text messaging interventions, with 20 randomized controlled trials and 5 controlled studies. Nineteen studies assessed outcomes of care and six assessed processes of care. Selected studies included 38,060 participants with 10,374 adults and 27,686 children. They covered 12 clinical areas and took place in 13 countries. Frequency of message delivery ranged from 5 times per day for diabetes and smoking cessation support to once a week for advice on how to overcome barriers and maintain regular physical activity. Significant improvements were noted in compliance with medicine taking, asthma symptoms, HbA1C, stress levels, smoking quit rates, and self-efficacy. Process improvements were reported in lower failed appointments, quicker diagnosis and treatment, and improved teaching and training. Cost per text message was provided by two studies. The findings that enhancing standard care with reminders, disease monitoring and management, and education through cell phone voice and short message service can help improve health outcomes and care processes have implications for both patients and providers.