利用行为改变技术识别瑞典坚持用药技术 (MATech) 的横断面研究。

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL Patient preference and adherence Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI:10.2147/PPA.S481152
Marie Ekenberg, Fanny Landin, Björn Wettermark
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引用次数: 0

摘要

背景:服药依从性差是一个公认的问题,行为改变技术(BCTs)在改善患者对处方药治疗的依从性方面已显示出前景。通过利用坚持用药技术(MATech),可以以人为本的方式有效实施这些行为改变技术干预措施。MATech 可定义为具有数字组件的系统、服务或物理设备(硬件),用于支持患者使用药物。目的:本研究旨在识别并描述瑞典语中可提供 BCT 干预的 MATech:方法:2023 年进行了一项横断面调查研究。通过与私营部门、公共机构和地区的伞式组织联系,确定了潜在的 MATech 开发者,并进行了应用程序搜索,之后向 381 名潜在的 MATech 开发者发放了调查问卷。所包含的 MATech 均为瑞典语,由患者使用,纳入了 BCT 干预措施,并且开发者对调查做出了回应。调查以 BCT 分类法和 COST ENABLE 项目的属性框架为基础,包括有关 BCT 功能的问题。在与 189 家潜在开发商通信后,有 32 家对调查做出了回应,并确定了 21 个 MATech(12 个独立软件和 9 个硬件解决方案):在确定的 21 项 MATech 中,9 项是硬件,10 项是专门针对特定疾病或药物设计的。大多数技术都采用了生物治疗技术,包括提醒患者服药(81%)、提供治疗信息(71%)以及提供监测服药情况或临床结果的反馈(76%):结论:瑞典语的 MATech 可采用 BCT,包括硬件和软件解决方案。有必要提高这些技术的知名度,使患者能够发现并利用它们提供的支持。
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A Cross-Sectional Study Identifying Medication Adherence Technologies (MATech) in Sweden Using Behavior Change Techniques.

Background: Poor medication adherence is a well-recognized problem, and behavior change techniques (BCTs) have shown promise in improving patient adherence to prescribed drug treatment. Through the utilization of medication adherence technologies (MATech), these BCT interventions could be delivered effectively in a person-centered way. MATech can be defined as systems, services or physical devices (hardware), with a digital component, used to support patients in their drug utilization. However, there is a lack of knowledge regarding their availability and to what extent they apply evidence-based BCTs.

Purpose: This study aimed to identify and describe MATech with BCT interventions available in the Swedish language.

Methods: A cross-sectional survey study was conducted in 2023. After identifying potential MATech developers by contacting umbrella organizations in the private sector, public agencies and regions, and conducting an app search, a survey was distributed to 381 potential MATech developers. Included MATech were in Swedish, used by patients, incorporated a BCT intervention, and had survey response from the developer. The survey was based on the BCT taxonomy and the framework of attributes from the COST ENABLE project, and included questions regarding BCT features. Following correspondence with 189 potential developers, 32 with products of interest responded to the survey, and 21 MATech were identified (12 standalone software and nine hardware solutions).

Results: Among the 21 MATech identified, nine were hardware and ten were specifically designed for a particular disease or medication. The majority of technologies incorporated BCTs of reminding the patient to take the medication (81%), information about the treatment (71%) and providing feedback on the monitoring of medication adherence or clinical outcomes (76%).

Conclusion: Swedish-language MATech employing BCTs are available, encompassing both hardware and software solutions. There is a need to enhance the visibility of these technologies, enabling patients to discover and utilize the support they provide.

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来源期刊
Patient preference and adherence
Patient preference and adherence MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.50%
发文量
354
审稿时长
6-12 weeks
期刊介绍: Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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