心衰人群的患者健康承诺(PACT-Health):卡塔尔世界杯8强波胆分析A Meeker,Daniella, A Goldberg,Jordan, A Kim,Katherine K, A Peneva,Desi, A Campos,Hugo De Oliveira, A Maclean,Ross, A Selby,Van, A Doctor,Jason N + Schaeffer卫生政策与经济研究中心，南加州大学，635 Downey Way, Los Angeles, CA, 90089，美国，1 213 821 8142，jdoctor@usc.edu %K心力衰竭%K行为经济学%K动机访谈%D 2019 %7 06.08.2019 %9背景:2016年，超过600万美国人患有心力衰竭，每8例死亡中就有1例将心力衰竭作为导致心力衰竭的原因。改变生活方式和坚持饮食和运动方案对限制疾病进展很重要。健康指导和公众承诺是两种互动的沟通策略，可以改善心力衰竭的自我管理。目的:本研究旨在开展患者焦点小组，以深入了解如何在心力衰竭人群中最好地实施健康指导和公共承诺策略。方法:在两个地点进行焦点小组调查。我们研究了加州奥克兰的2名患者和加州洛杉矶的5名患者。病人由当地心脏病专家转诊，必须诊断为慢性心力衰竭。我们使用半结构化访谈工具来探讨几个以患者为中心的主题，包括药物依从性、运动习惯、饮食习惯、目标、责任和奖励。 We coded focus group data using the a priori coding criteria for these domains. Results: Medication adherence barriers included regimen complexity, forgetfulness, and difficulty coping with side effects. Participants reported that they receive little instruction from care providers on appropriate exercise and dietary habits. They also reported personal and social obstacles to achieving these objectives. Participants were in favor of structured goal setting, use of online social networks, and financial rewards as a means of promoting health lifestyles. Peers were viewed as better motivating agents than family members. Conclusions: An active communication framework involving dissemination of diet- and exercise-related health information, structured goal setting, peer accountability, and financial rewards appears promising in the management of heart failure. %M 31389339 %R 10.2196/12483 %U //www.mybigtv.com/2019/8/e12483/ %U https://doi.org/10.2196/12483 %U http://www.ncbi.nlm.nih.gov/pubmed/31389339