在摔倒后在家中保持痴呆症患者的独立性:英国试点集群随机对照试验的协议
Leanne Greene1, Robert Barber2, Alison Bingham3
1Department of Health and Community Sciences, University of Exeter Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK l.m.g.greene@exeter.ac.uk.
BMJ open
|February 2, 2024
概括
这项试点研究测试了痴呆症患者的落干预措施,旨在评估更大规模试验的可行性. 结果将为未来的研究提供信息,以预防跌倒和改善这一群体的生活质量.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 患有痴呆症的人有更高的跌倒风险,导致功能下降和心理社会问题.
- 痴呆症的患病率越来越高,表明跌倒事件的增加,但缺乏干预措施的证据.
- 痴呆症患者的跌倒会对他们的功能,信心和生活质量产生负面影响.
研究的目的:
- 测试倒干预试验对痴呆症患者的可行性.
- 评估全面试验的关键参数,包括招聘,保留和成本效益.
- 收集关于二次结果的初步数据,例如日常生活活动和生活质量.
主要方法:
- 一个总部位于英国的试点集群随机对照试验涉及六个地点.
- 每个站点将招募10个双层 (痴呆症患者和护理人员),共计60个双层.
- 数据收集包括28周的可行性指标,功能评估,生活质量,秋季疗效和医疗保健利用率.
主要成果:
- 可行性结果 (同意率,后续行动,成本框架) 是主要重点.
- 二次结果将评估干预对日常生活,生活质量和跌倒发生的潜在影响.
- 嵌入式流程评估将探索干预交付和忠诚度.
结论:
- 这项试点试验对于评估针对痴呆症患者进行大规模倒干预的可行性至关重要.
- 结果将为未来的最终试验的设计提供信息,以应对这一群体下降的重大挑战.
- 确定可行性是为痴呆症患者制定有效的防摔策略的第一步.
相关概念视频
02:07Blind Procedures
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which child was...
01:17Classification of Illness
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...