TY - JOUR AU - Vitger, Tobias AU - Hjorthøj, Carsten AU - Austin, Stephen F AU - Petersen, Lone AU - Tønder, Esben Sandvik AU - Nordentoft, Merete AU - Korsbek, Lisa PY - 2022 DA - 2022/10/26 TI -一款在门诊治疗环境中促进患者激活和支持精神分裂症患者共享决策的智能手机应用程序(动量试验):随机对照评估-盲试验JO - J Med Internet Res SP - e40292 VL - 24is - 10kw -移动健康KW -移动健康KW -数字干预KW -共享决策KW -患者激活KW -精神分裂症KW -分裂型KW -早期干预KW -随机临床试验KW -手机AB -背景:共享决策(SDM)是一个旨在通过确保患者和提供者积极参与治疗决策来促进以患者为中心的护理的过程。在精神卫生保健中，SDM一直被提倡作为患者获得或重新获得对其生活和恢复过程的控制和责任的一种手段。为了支持以患者为中心的护理和SDM过程，数字工具可能在可访问性、结构和提醒方面具有优势。目的:在这项随机对照试验中，我们旨在研究支持患者激活和SDM的数字工具的效果。方法:该试验设计为随机、评估者盲法、两臂、平行组多中心试验，研究使用数字SDM干预6个月，与常规治疗相比。被诊断为精神分裂症、分裂型或妄想症的参与者从丹麦首都大区的9个门诊治疗地点招募。主要结果是在干预后时间点的自我报告的激活水平。次要结果包括自我效能、希望、工作联盟、满意度、对治疗咨询的准备程度、症状严重程度和功能水平。 Explorative outcomes on the effect of the intervention at the midintervention time point along with objective data on the use of the digital tool were collected. Results: In total, 194 participants were included. The intention-to-treat analysis revealed a statistically significant effect favoring the intervention group on patient activation (mean difference 4.39, 95% CI 0.99-7.79; Cohen d=0.33; P=.01), confidence in communicating with one’s provider (mean difference 1.85, 95% CI 0.01-3.69; Cohen d=0.24; P=.05), and feeling prepared for decision-making (mean difference 5.12, 95% CI 0.16-10.08; Cohen d=0.27; P=.04). We found no effect of the digital SDM tool on treatment satisfaction, hope, self-efficacy, working alliance, severity of symptoms, level of functioning, use of antipsychotic medicine, and number or length of psychiatric hospital admissions. Conclusions: This trial showed a significant effect of a digital SDM tool on the subjective level of patient activation, confidence in communicating with one’s provider, and feeling prepared for decision-making at the postintervention time point. The effect size was smaller than the 0.42 effect size that we had anticipated and sampled for. The trial contributes to the evidence on how digital tools may support patient-centered care and SDM in mental health care. Trial Registration: ClinicalTrials.gov NCT03554655; https://clinicaltrials.gov/ct2/show/NCT03554655 International Registered Report Identifier (IRRID): RR2-doi: 10.1186/s12888-019-2143-2 SN - 1438-8871 UR - //www.mybigtv.com/2022/10/e40292 UR - https://doi.org/10.2196/40292 UR - http://www.ncbi.nlm.nih.gov/pubmed/36287604 DO - 10.2196/40292 ID - info:doi/10.2196/40292 ER -