手机戒烟干预和网络戒烟干预的国际进展研究

提供戒烟帮助是控烟工作的重点之一。该文对国际上新显现的手机戒烟干预和网络戒烟干预的发展进行了总结,以期为我国的控烟工作提供借鉴支持。手机和网络戒烟干预方式的共同优势在于：无时间和地域性的限制,范围更广;规避了有些人不愿意面对面交流的忧虑,保护了咨询者的隐私;成本相对较低。二者在可及性、沟通效果、成本效益等方面则各有利弊。     

新型客户服务平台——“医患通”平台的研究与应用

目的：“医患通”服务平台建立的目的在于利用数字化手段在医院与患者之间搭起沟通的桥梁，创新医院客户服务方式。方法：该平台基于电子病历系统和医疗消息系统，将医院内部的医疗信息网络与社会通讯平台（手机、小灵通、互联网等）之间交互医疗信息，完成医患之间的沟通与交流。结果：可以轻松实现面对客户的人工、短信、语音、电子邮件等即时交互功能和群体管理功能。结论：该平台的建立实现了医院客户服务模式和客户关系管理模式的创新．推广应用前景广阔。     

生长抑素对肝脏转移性结肠腺癌的抑制作用

为探讨生长抑素对肝脏转移性结肠腺癌的抑制作用,采用流式细胞术观察生长抑素衍生物SMS201-995对BALB/C小鼠结肠腺癌(CT26)肝脏转移瘤生长的抑制作用。结果表明:与对照组相比,治疗组小鼠肝转移瘤细胞增殖指数和S期分数明显降低,而GO/Gl期分数却显著增加,同时治疗组小鼠体重降低明显延缓,肝脏转移瘤数目显著减少,生存期明显延长。因此,生长抑素对抑制结肠癌肝转移瘤的生长具有一定的作用。     

A pilot randomized controlled trial on the impact of text messaging check-ins and a web-based asthma action plan versus a written action plan on asthma exacerbations

Objective: We compared electronic asthma action plans (eAAP) supported by automated text messaging service (SMS) with written asthma action plans (AAP) on assessing acceptability and asthma control improvement. We hypothesized that the patients in eAAP group would have more improvements in their quality of life, asthma control and decreased asthma exacerbations. Methods: Patients with physician-diagnosed asthma having at least one asthma exacerbation in the previous 12?months were recruited. Participants received individualized action plans and were randomly assigned into either the intervention (eAAP) or control (AAP) group. Intervention participants received weekly SMS, triggering assessment of asthma control and viewing their eAAP. We assessed applicability of Telehealth platform on asthma exacerbations, asthma control, and quality of life over a 12-month period. Results: 106 patients were enrolled (eAAP = 52, AAP = 54). The cumulative response rate to all weekly SMS check-ins was 68.4%. Overall, 28% of patients checked into their eAAP during the intervention period. There were fewer exacerbations in the eAAP group (18%) compared to the AAP group (RR = 0.82 [95%CI 0.49, 1.36]), (P?=?0.44). The mean scores for asthma control and quality of life were higher in the eAAP group compared to the AAP group by 4% (RR = 1.04 [95%CI 0.83, 1.30]), (P?= 0.73) and 5.5% (RR = 1.06 [95%CI 0.87, 1.28]), (P?=?0.59), respectively, but were not statistically significant. Conclusions: We demonstrated that the eAAP presented improved asthma control outcomes, but as expected the sample size was inadequate to show a significant difference, but based on this pilot study we plan a larger appropriately powered randomized controlled trial (RCT).     

Smith-Magenis syndrome: a case report of improved sleep after treatment with beta1-adrenergic antagonists and melatonin

This report describes the case of a 4-year-old boy diagnosed with Smith-Magenis syndrome in whom treatment with a beta(1)-adrenergic antagonist in the morning (to suppress the diurnal melatonin secretion) and melatonin in the evening (to generate a nocturnal peak of melatonin) improved his sleep quality, evaluated by polysomnographic studies.     

Development and psychometric properties of a self report measure to assess clinicians' practices in self management support for patients with long term conditions

Objective

This paper presents a process of developing practices in self management support (PSMS) - a measure assessing clinicians’ self reported use of self management support practices in clinical consultations for patients with long term conditions (LTCs).

Methods

The development process comprised the following steps: literature review to define what skills clinicians need to effectively support patients to self manage, review of existing measures of SMS practices, construction of an initial pool of items, E Delphi study pilot survey to select items for final measure, data collection to confirm the factor structure and internal consistency of the final measure.

Results

The PSMS comprises three subscales: Clinical SMS (14 items), Patient Centeredness (4 items) and Organizational SMS (7 items). All subscales have very good internal reliability (Cronbach α: 0.94, 0.78 and 0.85; all item-total correlations above 0.50).

Conclusions and practice implications

We believe PSMS measure is suitable for both research and programme evaluation in UK clinical settings. To complete the process of measure development we are now planning to conduct further analyses to establish the validity of PSMS measure in UK and non UK healthcare settings and test the validity of PSMS measure on a wider range of other LTC groups.     

Digital Divide: Variation in Internet and Cellular Phone Use among Women Attending an Urban Sexually Transmitted Infections Clinic

We sought to describe: (1) the prevalence of internet, cellular phone, and text message use among women attending an urban sexually transmitted infections (STI) clinic, (2) the acceptability of health advice by each mode of information and communication technology (ICT), and (3) demographic characteristics associated with ICT use. This study is a cross-sectional survey of 200 English-speaking women presenting to a Baltimore City STI clinic with STI complaints. Participants completed a self-administered survey querying ICT use and demographic characteristics. Three separate questions asked about interest in receiving health advice delivered by the three modalities: internet, cellular phone, and text message. We performed logistic regression to examine how demographic factors (age, race, and education) are associated with likelihood of using each modality. The median age of respondents was 27 years; 87% were African American, and 71% had a high school diploma. The rate of any internet use was 80%; 31% reported daily use; 16% reported weekly use; and 32% reported less frequent use. Almost all respondents (93%) reported cellular phone use, and 79% used text messaging. Acceptability of health advice by each of the three modalities was about 60%. In multivariate analysis, higher education and younger age were associated with internet use, text messaging, and cellular phone use. Overall rate of internet use was high, but there was an educational disparity in internet use. Cellular phone use was almost universal in this sample. All three modalities were equally acceptable forms of health communication. Describing baseline ICT access and the acceptability of health advice via ICT, as we have done, is one step toward determining the feasibility of ICT-delivered health interventions in urban populations.