电子健康服务支持协作式抑郁症治疗的可行性研究[j]初步研究结果% a Meglic,Matic % a Furlan,Mirjana % a Kuzmanic,Marja % a Kozel,Dejan % a Baraga,Dusan % a Kuhar,Irma % a Kosir,Branko % a Iljaz,Rade % a Novak Sarotar,Brigita % a Dernovsek,Mojca Zvezdana % a Marusic,Andrej % a Eysenbach,Gunther % a Brodnik,Andrej %+ Primorska自然科学与技术研究所，Primorska大学，Muzejski trg 2, Koper, 6000，斯洛文尼亚，386 56117591，matic.meglic@upr.si %K抑郁症%K患者护理管理%K信息系统%K互联网%K治疗结果%K药物依从性%K试点研究%K可行性研究%K协作护理%D 2010 %7 19.12 2010 %9原论文jj医学互联网研究%G英语%X背景:电子健康支持的治疗和组织变革开始在改善疾病治疗结果和提供具有成本效益的护理管理方面发挥重要作用。“Improvehealth。eu”是一个新颖的电子健康服务，用于支持抑郁症患者的治疗。它通过结合基于网络和移动的信息和通信技术系统以及对护理管理人员的访问，提供积极的患者参与和协作护理管理。目的:我们的目的是评估一种新型电子医疗服务的可行性。方法:采取“改善健康”干预措施。在一项试点研究中，对两组接受常规治疗的患者和接受电子保健干预的常规治疗的患者进行了比较，探讨了欧盟"服务"。我们比较了两组患者的药物依从性和结果测量，并进一步探讨了干预组的使用情况和对干预的总体看法。 Results: The intervention was successfully implemented in a pilot with 46 patients, of whom 40 were female. Of the 46 patients, 25 received treatment as usual, and 21 received the intervention in addition to treatment as usual. A total of 55% (12/25) of patients in the former group and 45% (10/21) in the latter group finished the 6-month pilot. Available case analysis indicated an improvement of adherence in the intervention group (odds ratio [OR] = 10.0, P = .03). Intention-to-treat analysis indicated an improvement of outcome in the intervention group (ORs ranging from 0.35 to 18; P values ranging from .003 to .20), but confidence intervals were large due to small sample sizes. Average duration of use of the intervention was 107 days. The intervention was well received by 81% (17/21) of patients who reported feeling actively engaged, in control of their disease, and that they had access to a high level of information. In all, 33% (7/21) of the patients also described drawbacks of the intervention, mostly related to usability issues. Conclusions: The results of this pilot study indicate that the intervention was well accepted and helped the patients in the course of treatment. The results also suggest the potential of the intervention to improve both medication adherence and outcome measures of treatment, including reduction of depression severity and patients becoming “healthy.” %M 21172765 %R 10.2196/jmir.1510 %U //www.mybigtv.com/2010/5/e63/ %U https://doi.org/10.2196/jmir.1510 %U http://www.ncbi.nlm.nih.gov/pubmed/21172765