实施共享决策干预措施,以支持前十字带断裂后患者的治疗决策 - - POP-ACLR可行性研究的协议
Hayley M Carter1,2, David J Beard3, Charlotte Dodsley4
1Physiotherapy Outpatients, Florence Nightingale Community Hospital, Level 3, Derby, DE1 2QY, UK. hayley.carter1@nhs.net.
Pilot and feasibility studies
|May 7, 2024
概括
本研究评估了一种新的共享决策干预措施,用于前十字带 (ACL) 破裂患者. 它旨在确定这些工具的可行性和患者接受度,以帮助治疗选择.
科学领域:
- 整形外科手术 整形外科手术
- 患者的决策制定 患者的决策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 前十字带 (ACL) 破裂的治疗决定通常涉及手术和非手术选择之间的不确定性.
- 共享决策 (SDM) 工具,包括患者信息传单和选项网格,已开发,以帮助患者选择ACL破裂治疗.
- 本协议概述了一项混合方法可行性研究,以评估这些SDM工具.
研究的目的:
- 评估一种新型的共享决策干预措施的可行性和可接受性,用于 ACL 破裂患者.
- 探索与SDM干预相关的有效性指标和实施因素.
- 收集有关改进干预和改善患者护理途径的见解.
主要方法:
- 一个单一中心的非随机可行性研究,涉及20名通过MRI诊断为ACL破裂的患者.
- SDM干预将由物理治疗师在临床咨询期间进行.
- 主要结果包括招聘率,忠诚度,可接受性和填写问卷;次要结果是对决策的满意度.
主要成果:
- 将测量可行性结果,如招募率,干预忠实度和患者接受度.
- 患者对决策过程的满意度将使用经过验证的比例表来评估.
- 定性访谈将探索用户体验,以确定实施因素和改进领域.
结论:
- 该研究将确定在ACL破裂治疗决策中实施新的SDM干预措施的可行性.
- 将确定SDM干预措施的可接受性和有效性的初步指标.
- 长期影响包括在NHS内提供服务的潜在改进,患者的结果和成本效益.
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