PDF(Pubmed)
Abstract：
Patients with inflammatory bowel disease (IBD) are at increased risk of infections, bone fractures, and skin cancers.
We developed preventive health videos using a patient-centered approach and tested their impact on preventive health uptake.
Five animated videos explaining preventive health recommendations in IBD were iteratively developed with patient-centered focus groups and interviews. A randomized controlled trial was then conducted in a web-based IBD cohort to test the impact of video- versus text-based educational interventions. The primary outcome was receipt of the influenza vaccine. Secondary outcomes included intention to receive other preventive health services.
Five animated videos were developed with patient input. A total of 1056 patients with IBD were then randomized to receive the video (n=511) or text-only (n=545) interventions; 55% (281/511) of the video group and 57% (311/545) of the text-only group had received their influenza vaccine in the prior year. Immediately after the intervention, 73% (502/683) of patients reported their intention to receive the vaccine, with no difference by the type of intervention (75%, 231/307, for the video group and 72%, 271/376, for the text-only group). The proportion of patients who actually received the influenza vaccine after the intervention also did not differ by messaging type (P=.07). The strongest predictor of both intention to receive and actual receipt of the influenza vaccine was prior influenza vaccination. Older age was also associated with a higher likelihood of the intention to receive (age 36-75 years relative to 18-35 years; P=.006) and actual receipt (age >75 years relative to 18-35 years; P=.05) of the influenza vaccine.
The proportion of patients receiving the influenza vaccine was high in both groups, but there was no difference in receipt of or in the intention to receive preventive health recommendations by type of messaging. Notably, a portion of patients in both groups had intended to be vaccinated but did not ultimately receive the vaccine. Further evaluation of patient-education strategies is warranted to improve preventive health uptake among patients with IBD.
ClinicalTrials.gov NCT05997537; https://clinicaltrials.gov/ct2/show/NCT05997537.
We developed preventive health videos using a patient-centered approach and tested their impact on preventive health uptake.
Five animated videos explaining preventive health recommendations in IBD were iteratively developed with patient-centered focus groups and interviews. A randomized controlled trial was then conducted in a web-based IBD cohort to test the impact of video- versus text-based educational interventions. The primary outcome was receipt of the influenza vaccine. Secondary outcomes included intention to receive other preventive health services.
Five animated videos were developed with patient input. A total of 1056 patients with IBD were then randomized to receive the video (n=511) or text-only (n=545) interventions; 55% (281/511) of the video group and 57% (311/545) of the text-only group had received their influenza vaccine in the prior year. Immediately after the intervention, 73% (502/683) of patients reported their intention to receive the vaccine, with no difference by the type of intervention (75%, 231/307, for the video group and 72%, 271/376, for the text-only group). The proportion of patients who actually received the influenza vaccine after the intervention also did not differ by messaging type (P=.07). The strongest predictor of both intention to receive and actual receipt of the influenza vaccine was prior influenza vaccination. Older age was also associated with a higher likelihood of the intention to receive (age 36-75 years relative to 18-35 years; P=.006) and actual receipt (age >75 years relative to 18-35 years; P=.05) of the influenza vaccine.
The proportion of patients receiving the influenza vaccine was high in both groups, but there was no difference in receipt of or in the intention to receive preventive health recommendations by type of messaging. Notably, a portion of patients in both groups had intended to be vaccinated but did not ultimately receive the vaccine. Further evaluation of patient-education strategies is warranted to improve preventive health uptake among patients with IBD.
ClinicalTrials.gov NCT05997537; https://clinicaltrials.gov/ct2/show/NCT05997537.
摘要：
背景：炎症性肠病（IBD）患者的感染风险增加，骨折,和皮肤癌。
目的：我们使用以患者为中心的方法开发了预防性健康视频，并测试了其对预防性健康的影响。
方法：通过以患者为中心的焦点小组和访谈，迭代开发了五个解释IBD预防性健康建议的动画视频。然后在基于网络的IBD队列中进行了一项随机对照试验，以测试基于视频与基于文本的教育干预的影响。主要结果是接种流感疫苗。次要结果包括接受其他预防性卫生服务的意向。
结果：用患者输入制作了五个动画视频。然后，共有1056名IBD患者被随机分配接受视频（n=511）或仅文本（n=545）干预；视频组的55％（281/511）和仅文本组的57％（311/545）在前一年接受了流感疫苗。在干预之后,73%(502/683)的患者报告他们打算接种疫苗，干预类型没有差异(75%，231/307，为视频组和72%，271/376，适用于纯文本组)。干预后实际接种流感疫苗的患者比例也没有因消息传递类型而异（P=.07）。接受和实际接受流感疫苗的意愿的最强预测指标是先前的流感疫苗接种。年龄也与更高的意愿接受(年龄36-75岁相对于18-35岁;P=.006)和实际接受(年龄>75岁相对于18-35岁;P=.05)流感疫苗的可能性相关。
结论：两组接受流感疫苗的患者比例都很高，但在接受预防性健康建议或接受预防性健康建议的意向方面没有区别.值得注意的是,两组中的一部分患者原本打算接种疫苗,但最终没有接种疫苗.需要进一步评估患者教育策略，以改善IBD患者的预防性健康摄取。
背景：ClinicalTrials.govNCT05997537;https://clinicaltrials.gov/ct2/show/NCT05997537。
目的：我们使用以患者为中心的方法开发了预防性健康视频，并测试了其对预防性健康的影响。
方法：通过以患者为中心的焦点小组和访谈，迭代开发了五个解释IBD预防性健康建议的动画视频。然后在基于网络的IBD队列中进行了一项随机对照试验，以测试基于视频与基于文本的教育干预的影响。主要结果是接种流感疫苗。次要结果包括接受其他预防性卫生服务的意向。
结果：用患者输入制作了五个动画视频。然后，共有1056名IBD患者被随机分配接受视频（n=511）或仅文本（n=545）干预；视频组的55％（281/511）和仅文本组的57％（311/545）在前一年接受了流感疫苗。在干预之后,73%(502/683)的患者报告他们打算接种疫苗，干预类型没有差异(75%，231/307，为视频组和72%，271/376，适用于纯文本组)。干预后实际接种流感疫苗的患者比例也没有因消息传递类型而异（P=.07）。接受和实际接受流感疫苗的意愿的最强预测指标是先前的流感疫苗接种。年龄也与更高的意愿接受(年龄36-75岁相对于18-35岁;P=.006)和实际接受(年龄>75岁相对于18-35岁;P=.05)流感疫苗的可能性相关。
结论：两组接受流感疫苗的患者比例都很高，但在接受预防性健康建议或接受预防性健康建议的意向方面没有区别.值得注意的是,两组中的一部分患者原本打算接种疫苗,但最终没有接种疫苗.需要进一步评估患者教育策略，以改善IBD患者的预防性健康摄取。
背景：ClinicalTrials.govNCT05997537;https://clinicaltrials.gov/ct2/show/NCT05997537。
