永久支持性住房过量预防 (POP) 研究:混合型3级形集群随机对照试验的方案
Kelly M Doran1,2, Allison Torsiglieri3, Stephanie Blaufarb3
1Department of Emergency Medicine, NYU School of Medicine, New York, NY, USA. kelly.doran@nyulangone.org.
这项研究测试了在永久支持性住房 (PSH) 中的过量预防策略,这是结束无家可归的关键干预. 这些发现将为未来的高风险人群的过量预防工作提供信息.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 永久支持性住房 (PSH) 对于结束无家可归的国家战略至关重要.
- 由于多种因素,PSH租户存在高剂量过量风险.
- 特别是在PSH环境中,对过量预防的研究有限.
研究的目的:
- 描述混合型3级形集群随机对照试验 (RCT) 的协议,评估PSH中过量预防实践的实施.
- 为PSH环境调整基于证据的过量预防实践和实施策略.
- 检查PSH中过量预防策略的实施和有效性结果.
主要方法:
- 一个阶梯集群RCT涉及20个PSH建筑在纽约市和纽约首都地区.
- 将建筑物随机划分为四个六个月的干预波,每个波通过PSH过量预防 (POP) 工具包,实践便利和学习协作获得实施支持.
- 通过员工和租户调查,租户医疗补助数据分析和定性访谈收集数据,以探索实施成功因素.
主要成果:
- 本部分将报告建筑层面忠诚度对过量预防实践的主要结果.
- 将分析与实施和有效性相关的二次和探索性结果.
- 定性数据将揭示成功实施的障碍和促进因素.
结论:
- 这项研究是首次对PSH过量预防实施的受控试验.
- 预计这些发现将对未来的预防高风险人群过量服用的战略产生重大影响.
- 预计结果将适用于为无家可归者提供服务的多种住房环境.
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