在家进行疼痛护理以扩大功能:协议条款
Anne C Black1,2, Sara N Edmond1,2, Joseph W Frank3,4
1VA Connecticut Healthcare System, West Haven, CT, USA.
Substance use & addiction journal
|March 12, 2024
概括
这项研究测试了将远程医疗与疼痛自我管理结合起来,用于长期的阿片类药物治疗. 它旨在改善初级保健机构的疼痛,安全和其他健康结果.
科学领域:
- 疼痛管理 疼痛管理
- 在阿片类药物安全性方面.
- 实施科学 实施科学
背景情况:
- 阿片类药物处方指南强调重新评估益处和危害,但初级保健提供者 (PCP) 往往缺乏资源.
- 两种干预措施,即远程医疗协作管理 (TCM) 和合作疼痛教育和自我管理 (COPES),可以单独改善结果.
- 对于慢性疼痛和阿片类药物使用障碍的TCM和COPES的联合作用尚不清楚.
研究的目的:
- 与单独使用TCM相比,评估将TCM与COPES结合的有效性.
- 评估对疼痛干扰,阿片类药物安全性和二次结果如酒精使用,焦虑,抑郁和睡眠的影响.
- 检查退伍军人卫生管理局 (VHA) 内的实施策略和成本效益.
主要方法:
- 一个多站点,患者一级,随机化混合II有效性-实施试验.
- 对TCM与TCM+COPES干预措施的比较.
- 使用实施便利化和混合方法评估.
主要成果:
- (研究结果尚未公布,因为这是试验设计摘要.)
结论:
- (研究结论将在试验完成后得出.)
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