"I am not alone": the feasibility and acceptability of interactive voice response-facilitated telephone peer support among older adults with heart failure.
"I am not alone": the feasibility and acceptability of interactive voice response-facilitated telephone peer support among older adults with heart failure.
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DOI：
10.1111/j.1527-5299.2007.06412.x
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发表时间：
2007-05-01
期刊：
影响因子：
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通讯作者：
Piette, John D
中科院分区：
文献类型：
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作者：
Heisler, Michele;Halasyamani, Lakshmi;Piette, John D
患者的自我管理是心力衰竭(HF)预后的关键决定因素，然而HF患者往往很虚弱，与社会隔绝，这些因素可能限制他们管理自我护理和获得基于临床的服务的能力。动员心力衰竭患者的同伴支持是提高自我管理支持的一个有前途的策略。在这项试点中，作者评估了基于交互式语音应答(IVR)的平台的可行性和可接受性，以促进患有心力衰竭的老年人的电话同伴支持。参与者完成了基线调查，接受了3小时的同伴交流技能培训，并与另一名心力衰竭患者配对。参与者被要求每周使用免费的IVR电话系统与他们的伴侣联系，该系统保护他们的匿名性，并在没有联系的情况下提供自动提醒。参与者的电话联系的次数和持续时间被监测和记录。在7周的干预后，参与者完成了调查和简短的面对面访谈。作者发现，在20名试点研究参与者中，使用和满意度很高，抑郁症状也有所改善。IVR同伴支持干预是可行的，患者可以接受，并可能对患者的心力衰竭社会支持和健康结果产生积极影响，与结构化的卫生系统支持相结合，值得在随机试验中进行更严格的评估。
Patient self-management is a critical determinant of heart failure (HF) outcomes, yet patients with HF are often frail and socially isolated, factors that may limit their ability to manage self-care and access clinic-based services. Mobilizing peer support among HF patients is a promising strategy to improve self-management support. In this pilot, the authors evaluated the feasibility and acceptability of an interactive voice response (IVR)-based platform to facilitate telephone peer support among older adults with HF. Participants completed a baseline survey, were offered a 3-hour training session in peer communication skills, and were paired with another patient who had HF. Participants were asked to contact their partner weekly using a toll-free IVR phone system that protected their anonymity and provided automated reminders if contacts were not made. Times and duration of participants' telephone contacts were monitored and recorded. After the 7-week intervention, participants completed surveys and brief face-to-face interviews. The authors found high levels of use and satisfaction and improvements in depressive symptoms among the 20 pilot study participants. An IVR peer-support intervention is feasible, is acceptable to patients, and may have positive effects on patients' HF social support and health outcomes, in conjunction with structured health system support, that warrant more rigorous evaluation in a randomized trial.