在随机对照试验中,指导职业治疗师如何提高干预忠实度? 一个现实的评估评估
Blanca De Dios Pérez1, Jose Antonio Merchán-Baeza2,3, Katie Powers4,5
1Centre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham, Nottingham, UK. Blanca.dediosperez@nottingham.ac.uk.
BMC medical research methodology
|July 3, 2024
概括
在职业康复试验中指导职业治疗师提高了干预忠实度,减少了污染. 这种支持提高了他们对研究角色的信心和能力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 康复科学 康复科学 康复科学
- 实施科学 实施科学
背景情况:
- 在医疗保健中整合复杂的干预措施是具有挑战性的.
- 导师可以支持医疗保健专业人员在临床试验中提供干预措施.
- 提供职业康复 (VR) 干预的职业治疗师 (OT) 需要特殊支持.
研究的目的:
- 从现实的角度来看,了解指导如何支持OTs在随机对照试验 (RCT) 中提供VR干预的实施忠实性.
- 探索在这种环境中指导的背景,机制和结果.
主要方法:
- 采用了一个现实的评估方法.
- 分析了在RCT期间收集的电子邮件,指导记录和采访中的二次数据.
- 内容分析和现实主义原则被用来改进程序理论.
主要成果:
- 分析了584封电子邮件,184份指导表格和25次采访,得出了一个程序理论.
- 该理论确定了两个背景:试验设置和持续的指导.
- 确定了9个机制 (例如,集体理解,及时支持,反思性实践) 和3个结果 (改善信心,忠诚度和减少污染).
结论:
- 在RCT中提供VR干预的OT的指导支持提高了干预忠实度.
- 辅导改善了OT对临床与研究角色的理解,提高了信心和能力.
- 这种方法降低了干预污染的风险,并改善了试验文件的完成.
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