An Overactive Bladder Online Self-management Program With Embedded Avatars: A Randomized Controlled Trial of Efficacy
An Overactive Bladder Online Self-management Program With Embedded Avatars: A Randomized Controlled Trial of Efficacy
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DOI：
10.1016/j.urology.2014.11.017
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发表时间：
2015-03-01
期刊：
影响因子：
2.1
通讯作者：
Ruiz, Jorge G.
中科院分区：
文献类型：
--
作者：
Andrade, Allen D.;Anam, Ramanakumar;Ruiz, Jorge G.
确定基于头像的在线自我管理计划是否是膀胱过度活动症（OAB）女性的有效治疗方法。OAB是一种高度流行的综合症状，显著影响健康相关生活质量（HRQOL）。行为干预可以显著改善症状和HRQOL。在线教育项目为OAB患者提供了面对面自我管理指导的替代方案。有证据表明，化身（数字人）嵌入到在线程序可能有助于说服和激励患者采取健康的behaviors.METHODSIn一项为期12周的随机对照试验，妇女（年龄>55岁）的症状OAB至少3个月被随机分为2个版本的3部分，在线，自我管理程序。在收集了基线指标后，干预组观看了一个通用的化身教练和一个设计成类似参与者的自我化身同伴导师，而对照组观看了相同的在线节目，只有声音。参与者在第1周观看第1部分，在第6周观看第2和第3部分。参与者在12周内完成每日膀胱日记，并在第1、6和12周完成OAB相关结果测量。以基线作为协变量，对第12周结局指标的协方差分析表明，干预组在OAB问卷HRQOL（P = 0.02;大效应）、24小时频率（P
OBJECTIVETo determine whether an avatar-based, online, self-management program is an effective therapeutic approach for women with overactive bladder (OAB). OAB is a highly prevalent symptom complex that significantly impacts health-related quality of life (HRQOL). Behavioral interventions can produce substantial improvement in symptoms and HRQOL. Online education programs offer patients with OAB an alternative to face-to-face self-management instruction. Evidence suggests that avatars (digital humans) embedded into online programs may help persuade and motivate patients to adopt healthy behaviors.METHODSIn a 12-week, randomized, controlled trial, women (aged >55 years) with symptoms of OAB for at least 3 months were randomized to 2 versions of a 3-part, online, self-management program. After collecting the baseline metrics, the intervention group viewed a generic avatar coach with a self-avatar peer mentor designed to resemble the participant, and the control group viewed the identical online program with voice only. Participants viewed part 1 at week 1 and parts 2 and 3 at week 6. Participants completed daily bladder diaries throughout the 12-week period and OAB-related outcome measures at weeks 1, 6, and 12.RESULTSForty-one women completed the study (mean age = 61 years, standard deviation = 6). The analysis of covariance of week-12 outcome measures with the baseline as covariates demonstrated significant improvements in the intervention group in OAB questionnaire HRQOL (P = .02; large effect), 24-hour frequency (P