了解支IMP的过程 实施IMP证明的喘自我管理作为初级保健中的Routine (IMP2ART):在集群随机对照实施试验中进行过程评估的研究协议
J Sheringham1, L Steed2, K McClatchey3
1Institute of Epidemiology and Health Care, UCL, London, WC1E 6BT, UK. j.sheringham@ucl.ac.uk.
Trials
|June 4, 2024
概括
在初级保健中实施支持的喘自我管理是具有挑战性的. 这项研究评估了IMP2ART试验,以了解如何改善喘护理的提供和可持续性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 支持喘自我管理可以减少患者和医疗保健负担.
- 在日常实践中实施不善限制了喘自我管理的好处.
- 在IMP2ART (Implementing IMProved Asthma self-management as RouTine) 试验中,研究了一种整体系统战略,用于在英国初级保健中嵌入自我管理.
研究的目的:
- 进行IMP2ART试验的混合方法过程评估.
- 了解支持喘自我管理的实施过程,上下文因素和结果.
- 为扩大喘自我管理策略的规模和可持续性提供信息.
主要方法:
- 在IMP2ART集群随机试验中嵌入的混合方法过程评估.
- 收集关于实践背景,IMP2ART交付 (忠实性,适应性) 和实践响应的定量数据.
- 通过案例研究和采访进行深入的定性数据收集,结合理论综合.
主要成果:
- 评估将提供关于喘自我管理的全系统方法的交付和响应的见解.
- 了解IMP2ART试验如何以及为什么取得了成果对于可持续性至关重要.
- 该研究旨在确定在初级保健中实施的促进者和障碍.
结论:
- 这种理论上的过程评估将阐明在英国初级保健中实施支持喘自我管理的方法.
- 可适应的方法旨在捕捉初级保健环境变化的影响.
- 这些发现将指导未来的努力,以扩大有效的喘自我管理实施策略.
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