降低高血压风险的干预措施 (REVERSE):混合方法可行性研究的协议
Lucy Hives1, Rachel F Georgiou2, Joseph Spencer1
1Research Facilitation and Delivery Unit, Applied Health Research Hub, University of Central Lancashire, Preston, UK.
BMJ open
|May 31, 2023
概括
这项研究评估了血压前高血压患者的血压自我监测的可行性. 结果将指导未来的试验,通过改变生活方式来管理高血压.
科学领域:
- 心血管健康 心血管健康
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 前高血压影响40%的成年人,增加心血管疾病的风险.
- 目前的管理层强调改变生活方式,而不是药物治疗.
- 自我监测血压可能使个人能够管理风险并修改行为.
研究的目的:
- 为了确定血压自我监测的可行性,为患有高血压前期的人.
- 评估患者和医疗保健专业人员自我监测的可接受性.
- 收集数据,为未来临床试验的设计提供信息.
主要方法:
- 使用混合方法方法进行前性,非随机的可行性研究.
- 114名参与者从全科医院,药房和社区提供者中招募.
- 6个月的家庭血压自我监测,在基线,6个月和12个月使用问卷.
- 与参与者和医疗保健专业人员进行后续访谈和聚焦小组.
- 进行了成本分析和成本效益分析.
主要成果:
- 主要结果侧重于参与的意愿,自我监测的可接受性和学习过程.
- 二次结果将为未来的试验设计提供信息.
- 数据收集包括定量 (问卷) 和定性 (采访,焦点小组) 方法.
结论:
- 这项研究将为血压前高血压自我监测的实际实施提供关键的见解.
- 结果将指导开发有效的干预措施,以减少心血管风险.
- 结果将通过出版物和专业反传播.
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