The effects on health behavior and health outcomes of Internet-based asynchronous communication between health providers and patients with a chronic condition: a systematic review.
The effects on health behavior and health outcomes of Internet-based asynchronous communication between health providers and patients with a chronic condition: a systematic review.
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DOI：
10.2196/jmir.3000
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发表时间：
2014-01-16
影响因子：
7.4
通讯作者：
Schrijvers G
中科院分区：
文献类型：
--
作者：
de Jong CC;Ros WJ;Schrijvers G
为了支持专业实践，患者和提供者之间的异步通信是单独实施的，也可以与基于互联网的自我管理干预相结合。这种互动主要通过电子信息或讨论板进行。几乎没有证据表明，它是否是慢性病患者支持自我管理和提高干预有效性的有用工具。本研究的目的是回顾慢性疾病患者患者-提供者异步通信的使用和可用性，以及这种通信对健康行为、健康结果和患者满意度的影响。使用PubMed和Embase进行文献检索。根据国家健康与临床卓越研究所(NICE)的标准对文章的质量进行评估。通过检查采用异步通信的干预措施的使用频率和用户数以及单独的电子报文传送，分析了异步通信的使用和可用性。通过检查对健康行为、健康结果和患者满意度的影响来分析异步交流的有效性。患者对自己慢性疾病的了解增加了，他们似乎很欣赏能够与提供者进行异步交流。他们不仅有具体的问题，还想就感觉不舒服进行交流。两项研究表明，去看医生的次数减少了(P=0.07，P=0.07)。有背痛、呼吸困难和心力衰竭的患者的自我管理/自我效能增加。在12项研究中显示出积极的健康结果，其中糖尿病患者(HbA1c水平)和哮喘患者(用力呼气量[FEV])的临床结果有所改善。在五项研究中，身体症状有所改善。五项研究产生了各种积极的心理社会结果。在这些研究中，异步通信的效果并没有被明确地展示出来。患者似乎对使用电子邮件感兴趣。患者愿意参与，并主动与他们的提供者讨论健康问题。此外，还需要对慢性病患者的自我管理方面的异步交流效果进行测试。
In support of professional practice, asynchronous communication between the patient and the provider is implemented separately or in combination with Internet-based self-management interventions. This interaction occurs primarily through electronic messaging or discussion boards. There is little evidence as to whether it is a useful tool for chronically ill patients to support their self-management and increase the effectiveness of interventions. The aim of our study was to review the use and usability of patient-provider asynchronous communication for chronically ill patients and the effects of such communication on health behavior, health outcomes, and patient satisfaction. A literature search was performed using PubMed and Embase. The quality of the articles was appraised according to the National Institute for Health and Clinical Excellence (NICE) criteria. The use and usability of the asynchronous communication was analyzed by examining the frequency of use and the number of users of the interventions with asynchronous communication, as well as of separate electronic messaging. The effectiveness of asynchronous communication was analyzed by examining effects on health behavior, health outcomes, and patient satisfaction. Patients’ knowledge concerning their chronic condition increased and they seemed to appreciate being able to communicate asynchronously with their providers. They not only had specific questions but also wanted to communicate about feeling ill. A decrease in visits to the physician was shown in two studies (P=.07, P=.07). Increases in self-management/self-efficacy for patients with back pain, dyspnea, and heart failure were found. Positive health outcomes were shown in 12 studies, where the clinical outcomes for diabetic patients (HbA1c level) and for asthmatic patients (forced expiratory volume [FEV]) improved. Physical symptoms improved in five studies. Five studies generated a variety of positive psychosocial outcomes. The effect of asynchronous communication is not shown unequivocally in these studies. Patients seem to be interested in using email. Patients are willing to participate and are taking the initiative to discuss health issues with their providers. Additional testing of the effects of asynchronous communication on self-management in chronically ill patients is needed.
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影响因子：
7.4
作者：
Lin, Chen-Tan;Wittevrongel, Loretta;Moore, Laurie;Beaty, Brenda L;Ross, Stephen E
通讯作者：
Ross, Stephen E
影响因子：
4.2
作者：
Eley, Robert;Fallon, Tony;Hegney, Desley
通讯作者：
Hegney, Desley
影响因子：
2.2
作者：
Edwards, A;Elwyn, G;Russell, I
通讯作者：
Russell, I
影响因子：
16.2
作者：
Kwon, HS;Cho, JH;Yoon, KH
通讯作者：
Yoon, KH
DOI：
10.1136/bmj.d4163
发表时间：
2011-07-26
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Huber, Machteld;Knottnerus, J Andre;Smid, Henk
通讯作者：
Smid, Henk