Description of patient questions received by clinical pharmacists in the Nudge Study.
Description of patient questions received by clinical pharmacists in the Nudge Study.
复制标题
临床药剂师在助推研究中收到的患者问题的描述。
DOI：
10.1093/ajhp/zxad139
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Ho,PMichael
中科院分区：
文献类型：
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作者：
Marrs,JoelC;Orlando,StevenT;Saseen,JosephJ;Novins-Montague,Sylvie;Sandy,LisaCaputo;Waughtal,Joy;Glorioso,ThomasJ;Ho,PMichael
Nudge研究是一项患者水平的随机试验，测试发送给分配到4组的患者的不同短信药物补充提醒：（1）常规护理，（2）通用文本，（3）优化文本，（4）优化文本加聊天机器人。本报告描述了发送给临床药师（CP）的患者问题的频率和类型的文本reminds.MethodsPatients从丹佛卫生和医院管理局（DHHA）和退伍军人事务部东部科罗拉多医疗保健系统（VA ECHCS）从2019年10月1日，通过2021年5月30日。入选患者至少对1条文本或交互式语音应答（IVR）消息做出应答。患者被二分为那些谁提出了至少1个问题的CP和那些谁提出了没有questions.ResultsOf的6，325例患者参加了干预臂，3,323（52. 5%）回答至少1个文本或IVR消息，其中响应，305（9. 2%）回答了药剂师的问题。与提交CP问题相关的患者因素包括年龄（45-74岁）、从DHHA入组以及接收优化文本或优化文本加聊天机器人消息与通用文本。CP的问题有以下几类：药物相关（48.2%），笔芯物流（38.4%），成本（9.2%），和其他（17.7%）。被分配接受优化文本的患者更有可能有问题。我们假设，这可能表明患者对其病情的参与度更高，从而导致更多问题。
PurposeThe Nudge Study is a patient level–randomized trial testing different text message medication refill reminders sent to patients assigned to 4 arms: (1) usual care, (2) generic text, (3) optimized text, and (4) optimized text plus chatbot. This report describes the frequency and types of patient questions sent to clinical pharmacists (CPs) following text reminders.MethodsPatients were enrolled from Denver Health and Hospital Authority (DHHA) and Veterans Affairs Eastern Colorado Health Care System (VA ECHCS) from October 1, 2019, through May 30, 2021. Included patients responded to at least 1 text or interactive voice response (IVR) message. Patients were dichotomized as those who posed at least 1 question to a CP and those who posed no questions.ResultsOf the 6,325 patients enrolled in an intervention arm, 3,323 (52.5%) responded to at least 1 text or IVR message, and among those responding, 305 (9.2%) responded with a pharmacist question. Patient factors associated with submitting a CP question included age (45-74 years), enrollment from DHHA, and receipt of the optimized text or optimized text plus chatbot message versus the generic text. Questions to CP were in the following categories: medication related (48.2%), refill logistics (38.4%), cost (9.2%), and other (17.7%).ConclusionIn a text messaging intervention focused on medication refills, there were few questions directed to the CP. Patients assigned to receive optimized texts were more likely to have questions. We hypothesize that this may suggest greater patient engagement regarding their condition, resulting in more questions.