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首页> 外文期刊>Population health management >Incorporating Tailored Interactive Patient Solutions Using Interactive Voice Response Technology to Improve Statin Adherence: Results of a Randomized Clinical Trial in a Managed Care Setting
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Incorporating Tailored Interactive Patient Solutions Using Interactive Voice Response Technology to Improve Statin Adherence: Results of a Randomized Clinical Trial in a Managed Care Setting

机译：使用交互式语音响应技术整合量身定制的交互式患者解决方案，以改善他汀类药物的依从性：在管理式护理环境中进行随机临床试验的结果

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The current study presents the impact of a behavior change program to increase statin adherence using interactive voice response (IVR) technology. Subjects were affiliated with a large health benefit company, were prescribed a statin (index) and had no lipid-lowering pharmacy claims in the previous 6 months, and were continuously enrolled in the plan for 12 months prior and 6 months post index statin.rnPotential subjects (1219) were contacted by the IVR system; 497 gave informed consent. Subjects were asked to respond to 15 questions from the IVR that were guided by several behavior change theories. At the conclusion of the questions, subjects were randomly assigned to either a control group (n = 244), who received generic feedback at the conclusion of the call and were then mailed a generic cholesterol guide, or an experimental group (n = 253), who received tailored feedback based on their cholesterol-related knowledge, attitudes, beliefs, and perceived barriers to medication adherence, and were mailed a tailored guide that reinforced similar themes. Subjects in the experimental group had the opportunity to participate in 2 additional tailored IVR support calls.rnThe primary dependent variable was 6-month point prevalence, defined as claims evidence of a statin on days 121-180 post index statin. Subjects in the experimental group had a significantly higher 6-month point prevalence than the controls (70.4% vs. 60.7%, P<0.05). Results of this study suggest that a behavioral support program using IVR technology can be a cost-effective modality to address the important public health problem of patient nonadherence with statin medication.
机译：当前的研究提出了行为改变计划对使用交互式语音应答（IVR）技术增加他汀类药物依从性的影响。受试者隶属于一家大型健康福利公司，被处方了他汀类药物（指数），并且在过去6个月内没有降脂药申请，并且在他汀类药物之前和之后的12个月和6个月内连续参加了该计划。 IVR系统与受试者（1219）联系； 497知情同意。受试者被要求回答IVR的15个问题，这些问题以几种行为改变理论为指导。问题结束时，将受试者随机分配至对照组（n = 244），对照组在电话结束时收到通用反馈，然后邮寄通用胆固醇指南或实验组（n = 253） ，他们根据与胆固醇相关的知识，态度，信念和对药物依从性的认知障碍而收到量身定制的反馈，并被邮寄了量身定制的指南，以强化类似主题。实验组中的受试者有机会参加另外2次量身定制的IVR支持电话。主要因变量是6个月点患病率，定义为他汀类药物在他汀类药物服用后121-180天的声称证据。实验组的受试者6个月点患病率明显高于对照组（70.4％vs. 60.7％，P <0.05）。这项研究的结果表明，使用IVR技术的行为支持计划可以是一种经济有效的方式，可以解决患者因他汀类药物不依从而引起的重要公共卫生问题。

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