支持所有肌肉骨疼痛患者的自我管理:对干预开发的包容性方法:EASIER研究
Emma L Healey1, Martyn Lewis2, Nadia Corp2
1Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, ST5 5BG, UK. e.healey@keele.ac.uk.
BMC musculoskeletal disorders
|June 10, 2023
概括
这项研究开发了一种支持肌肉骨疼痛自我管理的包容性模型,解决了健康素养,以改善所有患者的护理. 以患者为中心的方法使用基于证据的组件,并可接受患者和医疗保健专业人员.
科学领域:
- 肌肉骨系统 (MSK) 的健康
- 健康素养研究研究健康素养研究
- 自主管理干预措施
背景情况:
- 肌肉骨 (MSK) 疾病的支持自我管理干预可能无法充分支持健康素养有限的个体,可能导致护理不平等和各种结果.
- 开发包容性干预措施对于公平的MSK疼痛管理至关重要.
- 这项研究旨在创建一个包容性支持的MSK疼痛自我管理干预措施的模型,考虑健康素养水平.
研究的目的:
- 开发一个包容,以患者为中心的模型,以支持肌肉骨疼痛的自我管理.
- 确保干预措施考虑到不同程度的健康素养.
- 确定有效的MSK疼痛自我管理的关键组件和交付方法.
主要方法:
- 一个混合方法研究,涉及四个工作包.
- 二次数据分析以确定干预目标.
- 关于有效的自我管理组件的证据综合,考虑健康素养.
- 社区和医疗保健专业人员 (HCP) 的咨询.
- 在线修改的Delphi方法,在逻辑模型上达成共识.
主要成果:
- 确定了关键的干预目标:自我效能,疾病感知和痛苦的灾难化.
- 有效的干预组件包括各种信息格式,行动计划和视觉练习演示.
- 推的支持涉及多专业团队和联合交付模式 (远程和面对面).
结论:
- 开发了一个以患者为中心的模型,用于多学科,多模式支持的MSK疼痛自我管理.
- 该模型是以证据为基础的,对患者和医疗保健工作者来说是可以接受的,并解决了不同的健康素养水平.
- 这种模型有可能显著影响MSK疼痛管理,并改善患者的治疗结果,等待有效性试验.
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