基于团队的家庭血压监测,以达到血压均等的目的,一个阶梯集群随机试验的协议
Kevin A Fiscella1, Emma Sass1, Soumya B Sridhar2
1Department of Family Medicine Research, Highland Hospital, University of Rochester Medical Center, 1381 South Ave, Rochester, NY 14620, United States of America.
Contemporary clinical trials
|September 18, 2023
概括
在临床药剂师的家庭血压监测 (HBPM) 改善了血压 (BP) 控制. 开发了新的策略,以增加HBPM在初级保健中的采用,旨在更好地管理高血压和BP公平.
科学领域:
- 实施科学 实施科学
- 主要护理医学 医疗保健
- 心血管健康 心血管健康
背景情况:
- 在临床药剂师参与下进行血压监测 (HBPM) 是一种基于证据的方法来改善血压 (BP).
- 目前缺乏在初级保健机构推广HBPM采用的策略.
- 本研究的重点是开发可行和可持续的实施策略,以加强高血压控制和BP公平.
研究的目的:
- 评估影响在初级保健中采用HBPM的障碍和促进因素.
- 代地适应和开发基于团队的HBPM的实施策略.
- 通过加强HBPM的实施,改善高血压控制和BP公平性.
主要方法:
- 利用关键信息人采访和多利益相关者团队 (调查人员,临床医生,实践管理) 来识别障碍和促进者.
- 制定了多方面的实施策略,包括患者外展,设备提供,用于BP传输的自动短信,访问笔记模板,审计/反报告和培训.
- 采用阶梯随机试验来评估RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) 的结果,分层按种族和种族.
主要成果:
- 该研究概述了一套旨在促进HBPM采用和改善高血压管理的综合策略.
- 将评估RE-AIM指标,以量化干预对患者参与,血压控制和持续结果的影响.
- 分析将包括按种族和民族分层,以检查对BP股权的影响.
结论:
- 这些发现将为开发的团队 HBPM 采用策略的有效性提供关键的见解.
- 该研究将告知干预措施对改善高血压控制和减少高血压差异的影响.
- 这项研究旨在指导未来在初级保健中实施HBPM的努力.
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