在医疗补助计划患者中增加基于证据的体重管理和糖尿病预防干预措施的覆盖范围:为试点顺序多重分配随机试验的研究协议
Chelsey R Schlechter1,2, Guilherme Del Fiol3, Dusti R Jones4,2
1Department of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA Chelsey.schlechter@hci.utah.edu.
BMJ open
|November 27, 2023
概括
这项试点研究测试了短信策略,以改善符合条件的成年人获得体重管理计划的机会. 调查结果将为基于证据的干预措施的可扩展传播提供信息.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肥胖影响超过40%的美国成年人,增加慢性疾病的风险.
- 肥胖不成比例地影响到边缘化人口.
- 针对体重管理的基于证据的干预措施 (EBI) 的覆盖率很低 (<3%).
研究的目的:
- 评估EBI权重管理传播策略的可行性和可接受性.
- 通过基于短信的传播方法评估EBI的覆盖范围.
主要方法:
- 试点随机对照试验与200名医疗补助患者.
- 两阶段设计:第一阶段随机化为单个 (TM1) 或多个 (TM+) 短信.
- 第二阶段随机将非响应者分为持续或增强的 (带有动机和解决问题的呼叫) 短信策略.
主要成果:
- 可行性指标包括患者的资格,联系和入学率.
- 接受度指标包括参与者选择退出,参与和EBI入学.
- 有效性和遵守性将被描述性地评估.
结论:
- 这项研究将提供关于基于短信的新型传播策略的可行性和可接受性的关键数据.
- 调查结果将为开发可扩展方法提供信息,以增加EBI对重量管理的覆盖范围.
- 改善EBI覆盖范围可以帮助解决服务不足人群中的肥胖差异.
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