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Consumer health information technology in an adult public health primary care clinic: A heart health education feasibility study

机译:成人公共卫生初级保健诊所中的消费者健康信息技术:心脏健康教育可行性研究

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Objective: To explore the feasibility and short term outcomes of using an interactive kiosk integrated into office flow to deliver health information in a primary care clinic. Methods: Fifty-one adults with BMI ≥25 were randomly assigned to use a kiosk with attached devices to receive a six-week healthy eating/weight monitoring (intervention) or general health/BP monitoring (attention-control) program. Outcomes were measured at baseline, 8 weeks (post) and three month follow-up. Results: Participants completed an average of 2.73 weekly sessions, with transportation and time given as limiting factors. They found the kiosk easy to use (97%), liked the touchscreen (94%), and would use the kiosk again (81%). Although there were no differences between groups, the 27 completing all assessments showed reduced weight (p= .02), and decreased systolic (p= .01) and diastolic BP (p< .001) at follow-up. Although healthy eating behaviors increased, the change was not statistically significant. Conclusion: Using a kiosk within a clinic setting is a feasible method of providing health information and self-monitoring. Multi-session educational content can provide beneficial short-term outcomes in overweight adults. Practice implications: A kiosk with attached peripherals in a clinic setting is a viable adjunct to provider education, particularly in medically underserved areas.
机译:目的:探讨使用整合到办公室流程中的交互式信息亭在基层医疗诊所提供健康信息的可行性和短期结果。方法:51名BMI≥25的成年人被随机分配到带有自助设备的自助服务亭,接受为期六周的健康饮食/体重监测(干预)或总体健康/血压监测(注意控制)程序。在基线,8周(术后)和3个月的随访中测量结果。结果:参与者平均每周完成2.73次课程,其中交通和时间是限制因素。他们发现信息亭易于使用(97%),喜欢触摸屏(94%),并且会再次使用信息亭(81%)。尽管各组之间没有差异,但完成所有评估的27名患者在随访时体重减轻(p = .02),收缩压(p = .01)和舒张压降低(p <.001)。尽管健康饮食行为有所增加,但这一变化在统计学上并不显着。结论:在临床环境中使用自助服务机是提供健康信息和自我监控的可行方法。多阶段的教育内容可以为超重成年人提供有益的短期结果。实践意义:在临床环境中具有连接外围设备的自助服务机亭是提供者教育的可行辅助手段,尤其是在医疗欠佳的地区。

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