A pilot study of a telehealth intervention for persons with spinal cord dysfunction
A pilot study of a telehealth intervention for persons with spinal cord dysfunction
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DOI：
10.1038/sc.2013.45
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发表时间：
2013-09-01
期刊：
影响因子：
2.2
通讯作者：
Williams, S.
中科院分区：
文献类型：
--
作者：
Houlihan, B. V.;Jette, A.;Williams, S.
研究设计：为期6个月的单盲随机对照试验。目的：评价一种新的远程健康干预措施‘CARecall’在减少压疮和抑郁以及促进适当健康护理的使用方面的效果。背景：美国马萨诸塞州和康涅狄格州的普通社区。方法：‘CARecall’是一个自动化的交互式语音响应系统，它结合了患者教育、认知行为干预、筛查和转介，并向护士远程康复协调员发出警报，以进行直接的非紧急电话随访。参与者包括142名多发性硬化症或脊髓损伤患者的便利样本，他们每天坐轮椅6小时。干预组71例接受护理，对照组71例接受常规护理。主要观察指标为：治疗工具压疮评分、患者健康问卷-9抑郁量表、康奈尔服务指数和克雷格医院环境因素问卷-简式问题5。结果：CArecall治疗6个月后女性压疮发生率明显减少(P
Study design: Single-blind randomized controlled trial of 6 months' duration.Objectives: To evaluate the efficacy of a novel telehealth intervention, 'CareCall', on reducing pressure ulcers and depression and enhancing the use of appropriate health care.Setting: General community, Massachusetts and Connecticut, United StatesMethods: 'CareCall' is an automated, interactive voice response system that combines patient education, cognitive behavioral interventions, screening and referrals, with alerts to a nurse telerehabilitation coordinator for direct non-emergent phone follow up. Participants consisted of a convenience sample of 142 persons with multiple sclerosis or spinal cord injury using a wheelchair >6h per day. The intervention group received CareCall (n = 71) The control group received usual care (n = 71). The main outcome measures were: The pressure ulcer scale for healing tool, Patient Health Questionnaire-9 depression scale, Cornell Services Index and Craig Hospital Inventory of Environmental Factors-Short Form Question 5.Results: CareCall achieved a reduction in presence of pressure ulcers at 6 months in women (P