代表性不足的少数民族和种族的息护理临床试验:叙述性审查
Maimouna Sy1, Christine Seel Ritchie1, Ana-Maria Vranceanu2
1Center for Aging and Serious Illness, Department of Palliative Care and Geriatric Medicine, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Journal of palliative medicine
|December 8, 2023
概括
本综述总结了少数群体的息护理临床试验,突出了文化定制的方法,如可访问的材料和社区参与. 未来的研究应该建立在这些策略上,以改善公平的护理服务.
科学领域:
- 息护理研究 息护理研究
- 健康差异 在健康上的差异
- 临床试验方法论 临床试验方法论
背景情况:
- 在少数民族族裔群体获得息护理方面存在显著的差异.
- 缺乏专注于为这些人群量身定制的文化息护理的研究.
- 解决这些差距对于公平的严重疾病护理至关重要.
研究的目的:
- 审查涉及代表性不足的少数群体的息护理临床试验.
- 描述这些试验中使用的方法方法.
- 为未来的息护理研究提供指导.
主要方法:
- 来自PubMed和ClinicalTrials.gov (1950-2022) 的文献叙事审查.
- 包括随机临床试验 (RCT),试点研究和专注于少数民族的协议.
- 使用SANRA和Cochrane指南进行资格评估,由两个独立审查员进行.
主要成果:
- 16项研究符合585篇出版物的初步搜索中包含的标准.
- 九篇文章被评估为具有偏见的低风险,而四篇则具有高风险.
- 常用的方法包括可访问的材料,健康导航器和社区参与.
结论:
- 在少数群体中进行息治疗试验的有效策略涉及文化敏感的方法.
- 未来的试验应该采用和创新社区参与的研究原则.
- 扩大这些策略可以提高息治疗的质量和公平性.
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