Telecare management of pain and mood symptoms: Adherence, utility, and patient satisfaction
Telecare management of pain and mood symptoms: Adherence, utility, and patient satisfaction
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DOI：
10.1177/1357633x19856156
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发表时间：
2020-12-01
影响因子：
4.7
通讯作者：
Weitlauf, Sharon
中科院分区：
文献类型：
--
作者：
Bushey, Michael A.;Kroenke, Kurt;Weitlauf, Sharon
疼痛、抑郁和焦虑是经常同时出现的突出症状，导致严重的衰弱和频繁的初级保健就诊。本文在一项随机试验中检验了远程医疗和自我管理模块在管理这些条件中的可接受性。方法情绪和身体症状综合管理（CAMMPS）试验比较了自动症状管理（ASM）加自我管理干预与综合症状管理（CSM）加远程辅助的增强服务干预。分析CAMMPS试验的数据，比较这两种干预措施的可接受性，如使用率和患者满意度调查。结果CSM组和ASM组平均完成的自动报告数相似（14.5 vs 14.0）。与临床相关的“红色警报”（即患者报告要求快速联系护士）指定的反应在CSM组中更频繁（10.2 vs 8.3）。CSM组和ASM组完成9个自我管理模块的数量相似（6.3 vs 5.8）。在所有模块中，CSM组的平均帮助得分高于ASM组（1.8 vs 1.5; p = 0.003）。ASM组最常见的反馈建议是进行更多的个人互动，而两个组的参与者通常都建议进行技术改进或要求更灵活的通话时间。参与者普遍认为两种干预措施都令人满意，满意度数据的趋势表明，患者倾向于发现CSM干预更有帮助。
IntroductionPain, depression, and anxiety are prominent symptoms that frequently co-occur, causing significant debilitation and frequent primary care visits. This paper examines the acceptability of telecare and self-management modules in managing these conditions in a randomized trial.MethodsThe Comprehensive Management of Mood and Physical Symptoms (CAMMPS) trial compared an automated symptom management (ASM) plus self-management intervention with a comprehensive symptom management (CSM) intervention that added telecare facilitation of enhanced services. Data from the CAMMPS trial were analysed to compare the acceptability of these two interventions as indicated by utilization and patient satisfaction surveys.ResultsThe mean number of automated reports completed was similar between the CSM and ASM groups (14.5 vs 14.0). Responses designated with clinically relevant "red alerts" (i.e. patient reports warranting an expedited nurse contact) were more frequent in the CSM group (10.2 vs 8.3). The CSM and ASM groups completed a similar number of the nine self-management modules (6.3 vs 5.8). The mean helpfulness score across all modules was higher in the CSM group than in the ASM group (1.8 vs 1.5; p = .003). The most common feedback suggestion from the ASM group was to have more personal interaction, while participants from both groups commonly suggested technical improvements or requests for more flexible timing of calls.DiscussionParticipants generally found both interventions satisfactory, with a trend in satisfaction data suggesting that patients tended to find the CSM intervention more helpful.