传播和实施社区卫生工作者对息护理差异的干预 (DeCIDE PC):一种混合型1随机对照试验的研究协议
Amn Siddiqi1, Olivia Monton1,2, Alison Woods1
1Department of Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
BMC palliative care
|September 17, 2023
概括
本研究评估了社区卫生工作者对息治疗差异的干预 (DeCIDE PC),以改善患有晚期癌症的非裔美国患者的终身护理. 这项干预旨在减少差异,提高息护理的获取和结果.
科学领域:
- 健康差异研究 研究健康差异研究
- 缓和护理干预措施 缓和护理干预措施
- 实施科学 实施科学
背景情况:
- 持续存在的种族和民族差异存在于美国的终身护理结果.
- 非洲裔美国患者面临着缓和护理,临终关怀和记录的护理目标的障碍.
- 社区卫生工作者对息治疗差异的干预 (DeCIDE PC) 是为了解决这些不平等而开发的.
研究的目的:
- 评估DeCIDE PC干预措施在改善高级固体器官恶性瘤的非裔美国患者及其非正式照顾者的息护理结果方面的有效性.
- 对影响干预的实施,传播,采用和可持续性的上下文因素产生可概括的知识.
主要方法:
- 一个多中心的,随机的,评估者盲目的,并行组的,实用性的,混合型1有效性-实施试验.
- DeCIDE PC干预涉及社区卫生工作者 (CHW) 的支持,根据患者和护理人员的需求,长达6个月.
- 主要结果是事先的护理计划;次要结果包括生活质量,沟通,住院利用和症状控制.
主要成果:
- 提前护理规划是主要的结果指标.
- 后勤回归将模拟治疗效应.
- 二次结果包括生活质量,沟通,住院利用率和症状控制.
结论:
- 预计DeCIDE PC干预将改善息护理的整合,并减少非洲裔美国患者的障碍.
- 它旨在加强诊所和患者与资源的联系,最终改善终身护理结果.
- 如果有效,DeCIDE PC可以作为大规模采用的模型,以减少非洲裔美国人的息护理差异.
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