实施用于早期乳腺癌治疗的共享决策,使用合作学习协作:SHAIR协作协议
Danielle Schubbe1, Renata W Yen2, Hannah Leavitt2
1The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, Lebanon, NH, 03756, USA. danielle.c.schubbe@dartmouth.edu.
Implementation science communications
|July 14, 2023
概括
该SHAIR协作旨在通过在线资源改善早期乳腺癌手术的共享决策 (SDM). 这个倡议旨在提高患者的治疗成果,并将SDM整合到北美各地的日常护理中.
科学领域:
- 在瘤学瘤学.
- 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:
- 乳腺癌护理的共享决策 (SDM) 改善了结果,但缺乏常规实施.
- 以前的试验表明,手术对话辅助器增强SDM和患者报告的早期乳腺癌的结果.
- 外科医生和患者倡导日常使用这些对话辅助工具.
研究的目的:
- 开发和评估共享决策采用实施资源 (SHAIR) 协作,一个在线学习平台.
- 为了促进乳腺癌外科手术的实施,对话辅助工具应用于例行手术前护理.
- 促进乳腺癌护理的持续学习协作,与美国乳腺外科医生协会 (ASBrS) 合作.
主要方法:
- 一个两个阶段的实施项目:第一阶段试点在五个地点,第二阶段扩展到北美32个额外的地点.
- 该SHAIR协作在线平台将提供对话辅助工具,培训,集成指导,反仪表板和支持.
- 评估将利用RE-AIM框架,重点关注患者接触,患者报告的结果,现场参与和可持续性.
主要成果:
- 预计SHAIR协作计划将在北美范围内接触到早期乳腺癌患者.
- 评估将评估患者报告的结果和活跃的临床场所的数量.
- 数据将为影响实施成功和可持续性的因素提供信息.
结论:
- 预计SHAIR协作将显著增加SDM资源对早期乳腺癌患者的覆盖范围.
- 该项目将评估多达37个临床场所的患者结果和参与度.
- 预计通过与ASBrS的合作伙伴关系实现持续实施的潜力.
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