哮喘联盟

   摘要
   背景：众多研究已表明哮喘患者自我管理的有效性，特别是拥有和应用医生提供的哮喘书面计划可显著改善哮喘控制情况。但是，在社区尤其是成年患者中，还缺乏哮喘书面计划和哮喘预防管理的实施。
   目的：以网络为基础的自我健康管理体系(PCHMS)即使我健康（Healthy me）将被用于2010 兼容2组随机对照试验 (网站数据vs PCHMS)的评估（分配比率：1:1）。
   方法：PCHMS与个人健康档案的管理方案和社会论坛相结合。资格审核后,样本量为300例的中度持续性哮喘成人患者将随机分配到这些组中的其中一组。12个月后使用健康快讯或网站信息（常规治疗组）进行研究后的评估。
   结果：主要结果是评估研究期间哮喘书面计划的拥有和修改情况。次要结果的评估包括：（1）哮喘书面计划的依从性（2）因哮喘问题计划参加或不参加的比例（3）健康快讯的使用模式和退出率（4）哮喘控制和哮喘急性发作的分值（5）哮喘对生活、竞争需求和缺勤天数的影响。
   结论：本项RCT研究将深入了解在线PCHMS是否能改善书面哮喘行动计划和哮喘预防措施。
 
 

（林江涛 审校）
JMIR Res Protoc. 2013 Aug 13;2(2):e28. doi: 10.2196/resprot.2695.

 

An internet intervention to improve asthma management: rationale and protocol of a randomized controlled trial.

Arguel A, Lau AY, Dennis S, Liaw ST, Coiera E.

Abstract

BACKGROUND: Many studies have shown the effectiveness of self-management for patients with asthma. In particular, possession and use of a written asthma action plan provided by a doctor has shown to significantly improve patients' asthma control. Yet, uptake of a written asthma action plan and preventative asthma management is low in the community, especially amongst adults.
OBJECTIVE: A Web-based personally controlled health management system (PCHMS) called Healthy.me will be evaluated in a 2010 CONSORT-compliant 2-group (static websites verse PCHMS) parallel randomized controlled trial (RCT) (allocation ratio 1:1).
METHODS: The PCHMS integrates an untethered personal health record with consumer care pathways and social forums. After eligibility assessment, a sample of 300 adult patients with moderate persistent asthma will be randomly assigned to one of these arms. After 12 months of using either Healthy.me or information websites (usual care arm), a post-study assessment will be conducted.
RESULTS: The primary outcome measure is possession of or revision of an asthma action plan during the study. Secondary outcome measures include: (1) adherence to the asthma action plan, (2) rate of planned and unplanned visits to healthcare providers for asthma issues, (3) usage patterns of Healthy.me and attrition rates, (4) asthma control and asthma exacerbation scores, and (5) impact of asthma on life and competing demands, and days lost from work.
CONCLUSIONS: This RCT will provide insights into whether access to an online PCHMS will improve uptake of a written asthma action plan and preventative asthma actions.
 

JMIR Res Protoc. 2013 Aug 13;2(2):e28. doi: 10.2196/resprot.2695.