Monitoraggio proattivo delle condizioni croniche attraverso l’uso di Wearable Mounting Devices (WDMs) nelle cure primarie: protocollo di uno studio multicentrico di fattibilità randomizzato e controllato in Italia e Finlandia
DOI:
https://doi.org/10.54103/dn/28128Parole chiave:
Assistenza primaria, infermieri di famiglia e di comunità, dispositivi di monitoraggio indossabili, assistenza proattivaAbstract
BACKGROUND: I dispositivi di monitoraggio indossabili (WMD) sono uno strumento promettente per supportare l'autogestione delle condizioni croniche, ma l'uso prolungato a lungo termine rimane una sfida. Questo studio multicentrico di fattibilità, randomizzato e controllato, ha l'obiettivo di sviluppare e valutare un intervento di monitoraggio proattivo che utilizzi i WMD per persone con patologie croniche in contesti di cure primarie in Italia e Finlandia.
METODI: L'intervento sarà sviluppato seguendo il quadro del Medical Research Council, guidato dalla teoria dell'autodeterminazione. I focus-group con le parti interessate informeranno la progettazione delle procedure di intervento, dei materiali di formazione e delle strategie per promuovere l'uso sostenuto dei WMD facilitando la competenza, l'autonomia e la relazione. Lo studio di fattibilità randomizzerà i partecipanti al gruppo di intervento sull'ADM, che riceverà un monitoraggio proattivo da parte di infermieri di famiglia e di comunità, oppure a un gruppo di controllo che riceverà un'assistenza standard. Gli esiti comprendono l'usabilità, la fattibilità (reclutamento, abbandono, difficoltà tecniche), l'implementazione (uso continuato, aderenza), la qualità della vita, l'autoefficacia e l'utilizzo dei servizi sanitari. I dati qualitativi esploreranno le differenze culturali tra i due Paesi.
RISULTATI E CONCLUSIONI: Dando priorità al coinvolgimento degli stakeholder, alle basi teoriche e alle considerazioni pragmatiche durante la fase di sviluppo dell'intervento, questo studio mira a sviluppare un programma di monitoraggio proattivo fattibile ed efficace per migliorare la gestione delle condizioni croniche attraverso l'uso sostenuto dei MMG nelle cure primarie in diversi contesti europei, aumentando le opportunità per gli infermieri di avere strumenti avanzati per il monitoraggio dei pazienti e strategie di autoefficacia.
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Copyright (c) 2025 Elisabetta Mezzalira, Luisa Saiani, Anna Axelin
Questo lavoro è fornito con la licenza Creative Commons Attribuzione - Non commerciale - Non opere derivate 4.0 Internazionale.
Accettato 2025-02-14
Pubblicato 2025-02-14
