Patient engagement: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}} {{AE}} | {{SI}} | ||
{{CMG}} {{AE}} [[User:Mmiller12|Meagan Miller]]; [[User:Sdawit|Sara Dawit]]; [[User:Ascheuffele|Anna Scheuffele]]; [[User:Travis Haneke|Travis Haneke]]; [[User:Amanda Just|Amanda Just]]; [[User:Eball |Evan Ball]] | |||
==Overview== | ==Overview== | ||
'''Patient engagement''', also called '''patient activation''' or '''patient participation''', is defined as "patient involvement in the decision-making process in matters pertaining to health."<ref name="mesh">Patient participation. National Library of Medicine - Medical Subject Headings. Available at https://www.nlm.nih.gov/cgi/mesh/2016/MB_cgi?mode=&term=Patient+Participation</ref> | |||
Medicine is an ever evolving entity, and as such over recent decades the ideology of medicine has progressed from a physician-centered model to a patient-centered model. Therefore, involving patients in the decision making process in matters that pertain to their own health (PMID D010358) is of the utmost importance. As technology continues to advance, physicians are looking for new ways to engage patients in their own health utilizing smartphone and tablet technology. Multiple randomized control studies have been performed to evaluate whether mobile health has an impact on chronic healthcare conditions, such as diabetes, hypertension, and obesity. | |||
==Patient Engagement / Participation== | ==Patient Engagement / Participation== | ||
===Mobile Health=== | |||
Mobile phone text messaging approximately doubles the odds of medication adherence. A [[meta analysis]] was conducted of 16 [[randomized control trial]]s to assess the effect of mobile phone text messaging on medication adherence in the setting chronic disease. Study concluded that this intervention improved adherence rates from 50% to 67.8% or an absolute increase of 17.8%.<ref name="pmid26831740">{{cite journal| author=Thakkar J, Kurup R, Laba TL, Santo K, Thiagalingam A, Rodgers A et al.| title=Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease: A Meta-analysis. | journal=JAMA Intern Med | year= 2016 | volume= | issue= | pages= | pmid=26831740 | doi=10.1001/jamainternmed.2015.7667 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26831740 }} </ref> | |||
Mobile health technology has been shown to have a greater reduction in hemoglobin A1c in the setting of diabetes. A randomized controlled trial evaluating the effectiveness of simultaneous mobile health technology in use of diabetes care, when initiating basal insulin therapy, showed a greater reduction in A1c level compared with standard therapy of basal insulin (3.2 ± 1.5% vs. 2.0% ± 2.0%; P = 0.048). This study suggests the use of mobile technology may be an effective form of communication between patients and providers and increase active patient engagement in their health.<ref name="pmid26645932">{{cite journal| author=Hsu WC, Lau KH, Huang R, Ghiloni S, Le H, Gilroy S et al.| title=Utilization of a Cloud-Based Diabetes Management Program for Insulin Initiation and Titration Enables Collaborative Decision Making Between Healthcare Providers and Patients. | journal=Diabetes Technol Ther | year= 2016 | volume= 18 | issue= 2 | pages= 59-67 | pmid=26645932 | doi=10.1089/dia.2015.0160 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26645932 }} </ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 04:40, 26 February 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Meagan Miller; Sara Dawit; Anna Scheuffele; Travis Haneke; Amanda Just; Evan Ball
Overview
Patient engagement, also called patient activation or patient participation, is defined as "patient involvement in the decision-making process in matters pertaining to health."[1]
Medicine is an ever evolving entity, and as such over recent decades the ideology of medicine has progressed from a physician-centered model to a patient-centered model. Therefore, involving patients in the decision making process in matters that pertain to their own health (PMID D010358) is of the utmost importance. As technology continues to advance, physicians are looking for new ways to engage patients in their own health utilizing smartphone and tablet technology. Multiple randomized control studies have been performed to evaluate whether mobile health has an impact on chronic healthcare conditions, such as diabetes, hypertension, and obesity.
Patient Engagement / Participation
Mobile Health
Mobile phone text messaging approximately doubles the odds of medication adherence. A meta analysis was conducted of 16 randomized control trials to assess the effect of mobile phone text messaging on medication adherence in the setting chronic disease. Study concluded that this intervention improved adherence rates from 50% to 67.8% or an absolute increase of 17.8%.[2]
Mobile health technology has been shown to have a greater reduction in hemoglobin A1c in the setting of diabetes. A randomized controlled trial evaluating the effectiveness of simultaneous mobile health technology in use of diabetes care, when initiating basal insulin therapy, showed a greater reduction in A1c level compared with standard therapy of basal insulin (3.2 ± 1.5% vs. 2.0% ± 2.0%; P = 0.048). This study suggests the use of mobile technology may be an effective form of communication between patients and providers and increase active patient engagement in their health.[3]
References
- ↑ Patient participation. National Library of Medicine - Medical Subject Headings. Available at https://www.nlm.nih.gov/cgi/mesh/2016/MB_cgi?mode=&term=Patient+Participation
- ↑ Thakkar J, Kurup R, Laba TL, Santo K, Thiagalingam A, Rodgers A; et al. (2016). "Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease: A Meta-analysis". JAMA Intern Med. doi:10.1001/jamainternmed.2015.7667. PMID 26831740.
- ↑ Hsu WC, Lau KH, Huang R, Ghiloni S, Le H, Gilroy S; et al. (2016). "Utilization of a Cloud-Based Diabetes Management Program for Insulin Initiation and Titration Enables Collaborative Decision Making Between Healthcare Providers and Patients". Diabetes Technol Ther. 18 (2): 59–67. doi:10.1089/dia.2015.0160. PMID 26645932.