...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Thorax: The Journal of the British Thoracic Society >Effects of mindfulness training programmes delivered by a self-directed mobile app and by telephone compared with an education programme for survivors of critical illness: a pilot randomised clinical trial
【24h】

Effects of mindfulness training programmes delivered by a self-directed mobile app and by telephone compared with an education programme for survivors of critical illness: a pilot randomised clinical trial

机译：通过危重疾病幸存者的教育计划和电话交付的心灵培训计划的影响：试点随机临床试验

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Patients who are sick enough to be admitted to an intensive care unit (ICU) commonly experience symptoms of psychological distress after discharge, yet few effective therapies have been applied to meet their needs. Methods Pilot randomised clinical trial with 3-month follow-up conducted at two academic medical centres. Adult (= 18 years) ICU patients treated for cardiorespiratory failure were randomised after discharge home to 1 of 3 month-long interventions: a self-directed mobile app-based mindfulness programme; a therapist-led telephone-based mindfulness programme; or a web-based critical illness education programme. Results Among 80 patients allocated to mobile mindfulness (n=31), telephone mindfulness (n=31) or education (n=18), 66 (83%) completed the study. For the primary outcomes, target benchmarks were exceeded by observed rates for all participants for feasibility (consent 74%, randomisation 91%, retention 83%), acceptability (mean Client Satisfaction Questionnaire 27.6 (SD 3.8)) and usability (mean Systems Usability Score 89.1 (SD 11.5)). For secondary outcomes, mean values (and 95% CIs) reflected clinically significant group-based changes on the Patient Health Questionnaire depression scale (mobile (-4.8 (-6.6, -2.9)), telephone (-3.9 (-5.6, -2.2)), education (-3.0 (-5.3, 0.8)); the Generalized Anxiety Disorder scale (mobile -2.1 (-3.7, -0.5), telephone -1.6 (-3.0, -0.1), education -0.6 (-2.5, 1.3)); the Post-Traumatic Stress Scale (mobile -2.6 (-6.3, 1.2), telephone -2.2 (-5.6, 1.2), education -3.5 (-8.0, 1.0)); and the Patient Health Questionnaire physical symptom scale (mobile -5.3 (-7.0, -3.7), telephone -3.7 (-5.2, 2.2), education -4.8 (-6.8, 2.7)). Conclusions Among ICU patients, a mobile mindfulness app initiated after hospital discharge demonstrated evidence of feasibility, acceptability and usability and had a similar impact on psychological distress and physical symptoms as a therapist-led programme. A larger trial is warranted to formally test the efficacy of this approach. Trial registration number
机译：生病患者足以入住重症监护单位（ICU）通常在出院后经历心理困扰的症状，但仍有很少的有效疗法来满足他们的需求。方法采用试点随机临床试验，在两个学术中心进行3个月的随访。成人（＆ = 18岁）治疗用于心肺衰竭的ICU患者在排放后的后续衰竭后进行随机分配到3个月长期的干预措施：基于自我导向的移动应用程序的心灵计划;治疗师LED电话的思想计划;或基于网络的关键疾病教育计划。结果80名患者分配给移动心灵（n = 31），电话致力于（n = 31）或教育（n = 18），66（83％）完成了该研究。对于主要成果，所有参与者的目标基准都超过了所有参与者的可行性税率（同意74％，随机化91％，保留83％），可接受性（平均客户满意度问卷27.6（SD 3.8））和可用性（均衡系统可用性分数89.1（SD 11.5））。对于二次结果，平均值（和95％CIS）反映了患者健康调查问卷抑制秤的临床显着的基团的变化（移动（-4.8（-4.8（-4.8（-4.8（-6.6）），电话（-3.9（-3.9（-5.6，-2.2） ）），教育（-3.0（-3.0（-5.3,0.8））;广义焦虑症秤（移动-2.1（-3.7，-0.5），电话-1.6（-3.0，-0.1），教育-0.6（-2.5， 1.3））;后创伤后应力秤（移动-2.6（-6.3,1.2），电话-2.2（-5.6,1.2），教育-3.5（-8.0,1.0））;和患者健康调查表身体症状规模（Mobile -5.3（-7.0，-3.7），电话-3.7（-5.2,2.2），教育-4.8（-6.8，2.7））。ICU患者中的结论是在医院放电后发起的移动态度应用，证明了可行性证据，可接受性和可用性，对治疗师LED程序的心理困扰和身体症状产生类似的影响。有一个较大的试验是正式测试这种方法的功效。试验登记号码

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号