移动初级保健：面向城市年轻成人哮喘管理的智能手机远程医疗（TEAMS）

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• 源站标题：Going mobile with primary care: smartphone-telemedicine for asthma management in young urban adults (TEAMS)
• DOI：10.6084/m9.figshare.13103357.v2
• 发布日期：2022-02-03
• 文件数：1 个
• 文件总体积：26.92 KB
• 源站页面：https://tandf.figshare.com/articles/journal_contribution/Going_mobile_with_primary_care_smartphone-telemedicine_for_asthma_management_in_young_urban_adults_TEAMS_/13103357

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数据说明

The majority of adults with persistent asthma have chronically uncontrolled disease and interventions to improve outcomes are needed. We evaluated the efficacy, feasibility, and acceptability of a multi-component smartphone-telemedicine program (TEAMS) to deliver asthma care remotely, support provider adherence to asthma management guidelines, and improve patient outcomes.
TEAMS utilized: (1) remote symptom monitoring, (2) nurse-led smartphone-telemedicine with self-management training for patients, and (3) Electronic medical record-based clinical decision support software. Adults aged 18-44 (N = 33) and primary care providers (N = 4) were recruited from a safety-net practice in Upstate New York. Asthma control, quality of life, and FEV1 were measured at 0, 3 and 6 months. Acceptability was assessed via survey and end-of-study interviews. Paired t-test and mixed effects modeling were used to evaluate the effect of the intervention on asthma outcomes.
At baseline, 80% of participants had uncontrolled asthma. By 6-months, 80% classified as well-controlled. Improvements in control and quality of life were large (d = 1.955, d = 1.579). FEV%pred increased 4.2% (d = 1.687) with the greatest gain in males, smokers, and lower educational status. Provider adherence to national guidelines increased from 43.3% to 86.7% (CI = 22.11-64.55) and patient adherence to medication increased from 45.58% to 85.29% (CI = 14.79-64.62). Acceptability was 95.7%; In follow up interviews, 29/30 patients and all providers indicated TEAMS worked better than usual care, supported effective self-management, and reduced symptoms over time, which led to greater self-efficacy and motivation to manage asthma.
Based on these findings, we conclude that smartphone telemedicine could substantially improve clinical asthma management, adherence to guidelines, and patient outcomes.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.6084/m9.figshare.13103357.v2（source: https://tandf.figshare.com/articles/journal_contribution/Going_mobile_with_primary_care_smartphone-telemedicine_for_asthma_management_in_young_urban_adults_TEAMS_/13103357）。