数字化疾病管理计划减少了种族和社会弱势群体的慢性胃肠道症状。

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY
Dena Bravata, Hau Liu, Meghan M Colosimo, Alexander C Bullock, Erin Commons, Mark Pimentel
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引用次数: 0

摘要

目的:不同性别、种族和社会经济群体在获得胃肠道(GI)护理和消化系统结果方面存在巨大差异。我们对以下两个方面进行了评估:(1)不同人群中患有慢性消化道症状的成年人是否会使用数字化消化道护理计划;(2)参与该计划对消化道症状严重程度和其他患者报告结果的影响:方法:参与者无论之前是否有消化系统诊断或症状,均可在 90 天内使用数字消化系统慢性护理计划。干预措施包括消化道症状跟踪、个性化医学营养治疗、针对消化道的健康指导以及有关常见消化道症状的针对性教育。我们根据每位参与者的家庭住址对其进行了社会脆弱性指数(SVI)评分,并根据性别、种族/民族和社会脆弱性指数对基线和干预结束时的症状及其他患者报告的结果进行了比较:在 1936 名参与者中,平均年龄为 43.1 岁;67% 为白人/高加索人,11% 为亚洲人/太平洋岛民,6% 为西班牙裔/拉丁裔,7% 为黑人/非洲裔,7% 为多种族。所有人口统计学群体的参与者都使用了该应用程序记录症状、查看教育材料并与他们的护理团队进行了互动,他们报告的消化道症状改善情况在统计学上具有相似的显著性(在干预结束时,85%的人症状有所改善,p 结论:我们得出的结论是,数字化消化道疾病管理计划可能有助于减少消化道疾病治疗方面的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital disease management programme reduces chronic gastrointestinal symptoms among racially and socially vulnerable populations.

Objective: Considerable disparities exist in access to gastrointestinal (GI) care and digestive outcomes across gender, racial, and socioeconomic groups. We evaluated (1) whether adults with chronic GI symptoms from diverse demographic groups would use a digital digestive care programme and (2) the effects of participation on GI symptom severity and other patient-reported outcomes.

Methods: Access to a digital digestive chronic care programme was provided to participants regardless of prior digestive diagnoses or symptoms for 90 days. The intervention included GI symptom tracking, personalised medical nutrition therapy, GI-specific health coaching, and targeted education on common GI symptoms. We assigned a Social Vulnerability Index (SVI) score to each participant according to their home address and compared baseline and end-intervention symptoms and other patient-reported outcomes by gender, race/ethnicity, and SVI.

Results: Of the 1936 participants, mean age was 43.1 years; 67% identified as white/Caucasian, 11% Asian/Pacific Islander, 6% Hispanic/Latinx, 7% black/African American, and 7% of multiple races. Participants of all demographic groups used the app symptom logging, reviewed educational materials, and interacted with their care team and reported similar statistically significant improvements in GI symptoms (by the end of the intervention, 85% improved, p<0.05). Participants reported feeling greater control of their health (83%), better able to manage their digestive symptoms (83%), increased happiness (76%), and greater productivity at work (54%), with black/African Americans and Native Americans most likely to report these changes.

Conclusion: We conclude that a digital GI disease management programme may be of value in reducing disparities in access to GI care.

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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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