在挪威的市政当局 (FALLPREVENT试验) 量身定制的落下预防国家建议的实施:一个集群随机试验的研究协议
Maria Bjerk1,2, Signe A Flottorp3,4, Are Hugo Pripp5,6
1Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University (OsloMet), Oslo, Norway. maria.bjerk@oslomet.no.
Implementation science : IS
|January 25, 2024
概括
这项研究测试了一种量身定制的干预措施,以改善医疗保健专业人员对老年人跌倒预防指南的遵守. 灵活的战略旨在克服市政医疗保健机构的实施挑战.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 基于证据的防摔干预措施在常规临床实践中受到限制.
- 实施方面的挑战阻碍了在市医疗保健中广泛采用防摔策略.
- 量身定制的实施策略对于应对当地环境和一般防摔决定因素至关重要.
研究的目的:
- 调查量身定制干预措施在改善医疗保健专业人员遵守国家预防跌倒建议方面的有效性.
- 为了比较一个量身定制的实施策略与市政老年人医疗保健机构的常规做法.
- 评估干预措施对遵守防摔指南的影响.
主要方法:
- 一个集群随机试验,涉及四个地区的25个挪威市镇.
- 干预小组获得了一个定制的实施策略,包括地方结构识别,资源团队建立,知识促进和流程支持.
- 采用了实施研究综合框架 (CFIR) 和实施变革专家建议 (ERIC) 框架. 主要结果:医疗保健专业人员遵守预防跌倒的建议.
主要成果:
- 该研究旨在提供关于定制实施策略有效性的证据.
- 它将评估干预成本和潜在的变化过程.
- 主要结果测量的是遵守国家预防跌倒的建议.
结论:
- 定制的实施策略对于克服基于证据的防摔障碍至关重要.
- 这项研究将提供有关将防摔建议纳入市政医疗保健的有效方法的见解.
- 调查结果将为未来的实施工作提供信息,以减少老年人中跌倒的情况.
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