多层次干预措施的实用随机临床试验,以改善对肺癌查的遵守 (The Larch Study):研究协议
Casey Luce1, Lorella Palazzo1, Melissa L Anderson1
1Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Contemporary clinical trials
|March 11, 2024
概括
对肺癌查 (LCS) 的遵守率低,限制了其有效性. 该研究测试了以患者为中心的干预措施,包括视频和提醒,以改善年度LCS遵守率并降低肺癌死亡率.
科学领域:
- 公共卫生 公共卫生
- 临床试验 临床试验
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对肺癌查 (LCS) 的遵守率低,阻碍了肺癌死亡率在人口水平上降低.
- 以患者为中心的干预措施对于解决每年LCS遵守的障碍至关重要.
研究的目的:
- 测试两个以患者为中心的干预措施的有效性:患者声音视频和步骤提醒.
- 在现实临床环境中改善每年肺癌查 (LCS) 的遵守.
主要方法:
- 一项实用随机临床试验,采用2x2因子设计,涉及50-78岁的1606名符合条件的患者.
- 干预措施 (视频,提醒或两者兼而有之) 嵌入常规护理,使用电子健康记录组件.
- 主要结果是遵守LCS指南 (在9-15个月内重复低剂量CT);患者报告的结果和混合方法评估也包括在内.
主要成果:
- 结果尚未公布,但将解决了解LCS遵守的多层次干预措施的差距.
- 该研究将提供数据,以患者为中心的方法在一个大型医疗保健系统的有效性.
结论:
- 研究协议旨在评估旨在提高每年肺癌查遵守率的干预措施.
- 预计这些发现将为改善在各种医疗保健环境中改善LCS遵守的可扩展策略提供信息.
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