{"title":"通过电子健康提供以人为中心的护理干预，以减少常见精神障碍患者的疲劳——随机对照试验的次要结果分析。","authors":"Sara Alsén, Matilda Cederberg, Andreas Fors","doi":"10.1080/02813432.2025.2533997","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The number of people with common mental disorders (CMDs) has increased in several countries, including Sweden, during the past decade. Patients seeking care for CMDs report severe symptoms. Although person-centred care has shown several benefits, studies evaluating the effects of person-centred eHealth interventions on patients with CMDs are scarce.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the effects of a person-centred eHealth intervention on self-reported fatigue in patients with CMDs.</p><p><strong>Methods: </strong>This study reports analysis of a secondary outcome measure from a randomised controlled trial. Patients (<i>n</i> = 209) on sick leave for CMDs were recruited from nine primary health care centres and allocated to either a control group (<i>n</i> = 107) receiving treatment as usual (TAU) or an intervention group receiving TAU with the addition of a person-centred eHealth intervention (phone support and an interactive digital platform) (<i>n</i> = 102). Self-reported symptoms of fatigue were assessed using the Multidimensional Fatigue Inventory Scale (MFI-20).</p><p><strong>Results: </strong>The intervention group improved significantly more than the control group in global fatigue and three of five dimensions of the MFI-20 (Physical fatigue, Reduced activity, and Mental fatigue) at the 3- and 6-month follow-ups. In the General fatigue dimension, the intervention group showed significant improvement at 6 but not at 3 months, while for Reduced motivation, there was a significant difference in favour of the intervention at 3 but not at 6 months.</p><p><strong>Conclusion: </strong>A person-centred eHealth intervention combining telephone support and an interactive platform holds potential for reducing symptoms of fatigue in patients on sick leave due to CMDs.</p><p><strong>Trial registration: </strong>The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19 January 2018. https://clinicaltrials.gov/ct2/show/NCT03404583.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"1-10"},"PeriodicalIF":1.9000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A person-centred care intervention provided via eHealth to reduce fatigue in patients with common mental disorders - secondary outcome analysis from a randomized controlled trial.\",\"authors\":\"Sara Alsén, Matilda Cederberg, Andreas Fors\",\"doi\":\"10.1080/02813432.2025.2533997\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The number of people with common mental disorders (CMDs) has increased in several countries, including Sweden, during the past decade. Patients seeking care for CMDs report severe symptoms. Although person-centred care has shown several benefits, studies evaluating the effects of person-centred eHealth interventions on patients with CMDs are scarce.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the effects of a person-centred eHealth intervention on self-reported fatigue in patients with CMDs.</p><p><strong>Methods: </strong>This study reports analysis of a secondary outcome measure from a randomised controlled trial. Patients (<i>n</i> = 209) on sick leave for CMDs were recruited from nine primary health care centres and allocated to either a control group (<i>n</i> = 107) receiving treatment as usual (TAU) or an intervention group receiving TAU with the addition of a person-centred eHealth intervention (phone support and an interactive digital platform) (<i>n</i> = 102). Self-reported symptoms of fatigue were assessed using the Multidimensional Fatigue Inventory Scale (MFI-20).</p><p><strong>Results: </strong>The intervention group improved significantly more than the control group in global fatigue and three of five dimensions of the MFI-20 (Physical fatigue, Reduced activity, and Mental fatigue) at the 3- and 6-month follow-ups. In the General fatigue dimension, the intervention group showed significant improvement at 6 but not at 3 months, while for Reduced motivation, there was a significant difference in favour of the intervention at 3 but not at 6 months.</p><p><strong>Conclusion: </strong>A person-centred eHealth intervention combining telephone support and an interactive platform holds potential for reducing symptoms of fatigue in patients on sick leave due to CMDs.</p><p><strong>Trial registration: </strong>The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19 January 2018. https://clinicaltrials.gov/ct2/show/NCT03404583.</p>\",\"PeriodicalId\":21521,\"journal\":{\"name\":\"Scandinavian Journal of Primary Health Care\",\"volume\":\" \",\"pages\":\"1-10\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-07-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scandinavian Journal of Primary Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/02813432.2025.2533997\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Primary Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02813432.2025.2533997","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
A person-centred care intervention provided via eHealth to reduce fatigue in patients with common mental disorders - secondary outcome analysis from a randomized controlled trial.
Background: The number of people with common mental disorders (CMDs) has increased in several countries, including Sweden, during the past decade. Patients seeking care for CMDs report severe symptoms. Although person-centred care has shown several benefits, studies evaluating the effects of person-centred eHealth interventions on patients with CMDs are scarce.
Objective: The aim of this study was to evaluate the effects of a person-centred eHealth intervention on self-reported fatigue in patients with CMDs.
Methods: This study reports analysis of a secondary outcome measure from a randomised controlled trial. Patients (n = 209) on sick leave for CMDs were recruited from nine primary health care centres and allocated to either a control group (n = 107) receiving treatment as usual (TAU) or an intervention group receiving TAU with the addition of a person-centred eHealth intervention (phone support and an interactive digital platform) (n = 102). Self-reported symptoms of fatigue were assessed using the Multidimensional Fatigue Inventory Scale (MFI-20).
Results: The intervention group improved significantly more than the control group in global fatigue and three of five dimensions of the MFI-20 (Physical fatigue, Reduced activity, and Mental fatigue) at the 3- and 6-month follow-ups. In the General fatigue dimension, the intervention group showed significant improvement at 6 but not at 3 months, while for Reduced motivation, there was a significant difference in favour of the intervention at 3 but not at 6 months.
Conclusion: A person-centred eHealth intervention combining telephone support and an interactive platform holds potential for reducing symptoms of fatigue in patients on sick leave due to CMDs.
Trial registration: The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19 January 2018. https://clinicaltrials.gov/ct2/show/NCT03404583.
期刊介绍：
Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice.
Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include:
• Clinical family medicine
• Epidemiological research
• Qualitative research
• Health services research.
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