A Randomized Trial of User-Controlled Text Messaging to Improve Asthma Outcomes: A Pilot Study

A Randomized Trial of User-Controlled Text Messaging to Improve Asthma Outcomes: A Pilot Study
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DOI:
10.1177/0009922816684857
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发表时间:
2017-12-01
影响因子:
1.6
通讯作者:
Byczkowski, Terri L.
Byczkowski, Terri L.
中科院分区:
医学4区
文献类型:
--
作者:
Britto, Maria T.;Rohan, Jennifer M.;Byczkowski, Terri L.

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我们在一项为期 6 个月的纵向交叉研究中招募了 64 名年龄为 12 至 22 岁、诊断为控制不佳的持续性哮喘的患者。在干预的 3 个月中,参与者创建了个性化短信并发送到他们的手机上。对 22 名参与者的依从性进行了客观监测。青少年参与者对短信系统的可接受性给予了很高的评价。无论青少年是在短信组还是对照组,哮喘控制从基线到第一个月都有所改善。当参与者处于短信组时,他们的生活质量得到改善,对哮喘的担忧也减少了。与没有干预相比,接受文字干预后,每月的依从性增加了 2.75%,但这种改善并没有持续下去。哮喘控制和生活质量有一定改善,短信干预期间的依从性也有所提高。
We enrolled 64 patients age 12 to 22 years with a diagnosis of poorly controlled persistent asthma in a 6-month longitudinal crossover study. During the 3 intervention months, participants created personalized text messages to be sent to their phones. Adherence was objectively monitored in 22 of the participants. The adolescent participants gave high ratings on the acceptability of the text messaging system. Asthma control improved from baseline to month 1 regardless of whether teens were in the texting or control group. While participants were in the texting group, their quality of life improved and worry about their asthma decreased. Receiving the text intervention resulted in an increase in adherence of 2.75% each month relative to no intervention, but the improvements were not sustained. There was modest improvement in asthma control and quality of life outcomes, as well as improved adherence during the texting intervention.