Home-Based Outpatient Telepsychiatry to Improve Adherence With Treatment Appointments: A Pilot Study
Home-Based Outpatient Telepsychiatry to Improve Adherence With Treatment Appointments: A Pilot Study
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DOI：
10.1176/appi.ps.201600244
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发表时间：
2017-07-01
影响因子：
3.8
通讯作者：
Kane, John M.
中科院分区：
文献类型：
--
作者：
Shulman, Matisyahu;John, Majnu;Kane, John M.
目的：本研究调查了那些不遵守门诊预约并被随机分配接受远程精神病学干预（家庭视频电话会议）治疗的患者与常规治疗组相比，在遵守预约方面是否会有所改善。方法：在为期六个月的研究中，参与者（N = 22）被随机分配到家庭视频电话会议或常规门诊治疗。主要结局指标是就诊依从性的改善，使用双样本 t 检验进行分析。结果：远程精神病学组和常规治疗组之间就诊依从性的改善百分比没有显着差异（14% 和 15%）。远程精神病学组中更多的参与者报告说，按时赴约的主观困难较小。结论：参与者数量少、研究周期短、选择偏倚和霍桑效应可能对本研究的测量影响有限。研究结果表明，经常不遵守规定的人的访问不遵守很大程度上与不便无关。
Objective: This study examined whether patients who had been nonadherent with outpatient appointments and who were randomly assigned to receive treatment through a telepsychiatry intervention (home-based video teleconferencing) would show improvement in adherence to appointments, compared with a treatment-as-usual group.Methods: Participants (N=22) were randomly assigned to home-based video teleconferencing or to outpatient treatment as usual during a six-month study. The primary outcome measure was improvement in visit adherence, which was analyzed using a two-sample t test.Results: Percentage improvement in visit adherence did not differ significantly between the telepsychiatry and treatmentas-usual groups (14%, compared with 15%). A greater number of participants in the telepsychiatry group reported less subjective difficulty in keeping appointments.Conclusions: A small number of participants, short study period, selection bias, and the Hawthorne effect may have limited measured impact in this study. The findings implied that visit nonadherence among frequently nonadherent individuals is largely unrelated to inconvenience.