在IMPACT联盟中的系统性症状管理:为3项有效性实施试验的理由和设计
Ashley Wilder Smith1, Lisa DiMartino2,3, Sofia F Garcia4
1Outcomes Research Branch, Healthcare Delivery Research Program, National Cancer Institute, Bethesda, MD, USA.
JNCI cancer spectrum
|November 6, 2023
概括
在癌症治疗期间和之后改善症状管理 (IMPACT) 联盟开发了系统的症状管理系统,以改善癌症患者的护理. 这些系统旨在减少症状负担,并在癌症治疗期间和之后提高生活质量.
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:
- 癌症及其治疗方法会引起显著的症状,影响患者的生活质量.
- 管理不善的症状会增加医疗保健的使用率和住院率.
研究的目的:
- 描述IMPACT联盟的概念框架,组织和评估计划.
- 详细介绍3个大规模,系统的症状管理系统的发展.
- 通过实用性,随机化,混合有效性和实施试验概述测试这些系统的计划.
主要方法:
- 3个系统性症状管理系统的开发.
- 通过电子健康记录平台部署系统.
- 通过实用性,随机化,混合有效性和实施试验进行测试.
主要成果:
- 描述了IMPACT联盟的框架,组织组成部分和评估计划.
- 研究设计和经验教训,包括COVID-19大流行中断,都被强调.
结论:
- 影响联盟的目标是系统地改善癌症护理中的症状管理.
- 联盟的方法集成了有效性和实施研究.
- 学到的经验教训将为未来的大规模症状管理计划提供信息.
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