TY -的盟Yardley,露西AU -约瑟夫,朱迪思盟——米奇,苏珊AU -福利,马克AU -遗嘱,加里•盟——小保罗PY - 2010 DA - 2010/12/15 TI -评估自我管理的一个基于web的干预提供定制的建议小呼吸道症状:探索随机对照试验乔- J地中海互联网Res SP - e66六世- 12 - 4 KW -互联网KW -自我保健KW -消费者健康信息KW -沟通KW -感冒KW -流感AB -背景:相对而言，关于基于网络的自我护理支持在轻微、急性症状管理中的作用的研究较少，相比之下，最近关于互联网干预支持长期病情自我管理的大量研究。目的:本研究旨在评估“互联网医生”网站的使用和效果，为轻微呼吸道症状(如咳嗽、喉咙痛、发烧、流鼻涕)的自我管理提供量身定制的建议，为临床有效性的最终试验做准备。第一个目的是评估使用互联网医生网页对患者启用和使用健康服务的影响，以测试由互联网医生提供的定制的、基于理论的建议是否优于提供提供最佳现有患者信息的静态网页(对照条件)。第二个目的是通过比较干预组和对照组中相关信念和疾病感知的变化，以及分析互联网医生网页的使用情况和意图变化的预测因素，来了解可能导致就医意愿变化的过程。方法:参与者(N = 714)在线完成了关于他们的症状和自我护理的信念基线测量，然后自动随机分配到网络医生或对照组。48小时后，332名参与者再次完成了这些测试。四周后，214名参与者完成了实施和卫生服务使用的测量。结果:网络医生的满意度高于对照信息(平均分别为6.58和5.86;P = .002)，并导致一个月后更高水平的使能(中位数分别为3和2; P = .03). Understanding of illness improved in the 48 hours following use of the Internet Doctor webpages, whereas it did not improve in the control group (mean change from baseline 0.21 and -0.06, respectively, P = .05). Decline in intentions to consult the doctor between baseline and follow-up was predicted by age (beta = .10, P= .003), believing before accessing the website that consultation was necessary for recovery (beta = .19, P < .001), poor understanding of illness (beta = .11, P = .004), emotional reactions to illness (beta = .15, P <.001), and use of the Diagnostic section of the Internet Doctor website (beta = .09, P = .007). Conclusions: Our findings provide initial evidence that tailored web-based advice could help patients self-manage minor symptoms to a greater extent. These findings constitute a sound foundation and rationale for future research. In particular, our study provides the evidence required to justify carrying out much larger trials in representative population samples comparing tailored web-based advice with routine care, to obtain a definitive evaluation of the impact on self-management and health service use. SN - 1438-8871 UR - //www.mybigtv.com/2010/4/e66/ UR - https://doi.org/10.2196/jmir.1599 UR - http://www.ncbi.nlm.nih.gov/pubmed/21159599 DO - 10.2196/jmir.1599 ID - info:doi/10.2196/jmir.1599 ER -