@Article{信息:doi 10.2196 / / jmir。1081，作者=“Ritterband, Lee M and Ardalan, Kaveh and Thorndike, Frances P and Magee, Joshua C and Saylor, Drew K and Cox, Daniel J and Sutphen, James L and Borowitz, Stephen M”，标题=“在现实世界中使用互联网干预小儿包皮导入”，期刊=“J Med Internet Res”，年=“2008”，月=“Jun”，日=“30”，卷=“10”，数=“2”，页数=“e16”，关键词=“互联网;行为干预;背景:互联网是医疗信息的一个重要来源，现在正被证明是提供各种与健康有关的干预措施的一个重要渠道。目的:本文旨在研究在“现实世界”环境中，作为标准医疗护理的一部分，互联网干预对儿童包膜炎的效用和影响。方法:给诊断为包膜退缩的患者一个基于网络的信息处方，使用互联网干预小儿包膜退缩。在2004年7月至2006年6月期间，共有22个家庭采用了干预措施。通过图表回顾和电话访谈收集用户特征;排便相关信息，包括大便频率、厕所内排便(BMs)和排便疼痛程度;以及使用电脑/互联网的资料。 Three questionnaires were used to examine the utility of, impact of, and adherence to the Internet intervention. Program utilization was obtained from a data tracking system that monitored usage in real time. Results: Overall, parents rated the Internet intervention as enjoyable, understandable, and easy to use. They indicated that the Internet intervention positively affected their children, decreasing overall accidents and increasing child comfort on the toilet at home. Of the 20 children who initially reported fecal accidents, 19 (95{\%}) experienced at least a 50{\%} improvement, with a reduction of accident frequency from one fecal accident per day to one accident per week. Although it is not clear whether this improvement is directly related to the use of the Internet intervention, patient feedback suggests that the program was an important element, further establishing Internet interventions as a viable and desirable addition to standard medical care for pediatric encopresis. Conclusions: To our knowledge, this is the first time a pediatric Internet intervention has been examined as part of a ``real world'' setting. This is an important step toward establishing Internet interventions as an adjunctive component to treatment of pediatric patients in a clinical setting, particularly given the positive user feedback, possible cost savings, and significant potential for large-scale dissemination. ", issn="1438-8871", doi="10.2196/jmir.1081", url="//www.mybigtv.com/2008/2/e16/", url="https://doi.org/10.2196/jmir.1081", url="http://www.ncbi.nlm.nih.gov/pubmed/18653440" }