The effectiveness of mI SMART:A nurse practitioner led technology intervention for multiple chronic conditions in primary care
作者机构：West Virginia UniversitySchool of NursingUnited States of America Sovern RunLLCUnited States of America
出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)
年 卷 期：2018年第5卷第2期
页 面：131-137页
学科分类：0809[工学-电子科学与技术（可授工学、理学学位）] 1011[医学-护理学（可授医学、理学学位）] 08[工学]
主 题：Health disparities mHealth Multiple chronic conditions Nursing informatics Rural
摘 要：Aims:Used as integrated tools,technology may improve access and outcomes of care.A new intervention that integrates multiple technologies called mI SMART has been developed,implemented,and evaluated by Nurse *** aim of this paper is to present the initial effectiveness of a webbased,structure of sensors and mobile devices designed to overcome the known health determinant of access to care for rural,chronically ill patients by using ***:The study was conducted at a community primary-care clinic that provides free healthcare to impoverished *** with at least one chronic condition,a minimum of 3rd grade reading level,and without dementia/psychosis were *** were given a Nexus7 tablet and Bluetooth self-monitoring *** intervention lasted for 12 *** glucose,blood pressure,and weight were collected using the provided Bluetooth devices and means were evaluated with paired-samples ttests before and after the ***:Thirty participants were majority female,white,married,high-school educated or less,earning less than$20,000 per annum,and had multiple chronic ***-intervention glucose,systolic blood pressure,diastolic blood pressure,weight and Body Mass Index were all reduced after the 12-week ***:The mI SMART intervention is efficacious for use in improvised adults living in rural areas with multiple chronic *** previously reported,the intervention was also shown to be feasible and acceptable to *** next step is a larger randomized controlled trial.
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