通过提供者和社区卫生工作者参与加强狼临床试验招聘:通过提供者和社区卫生工作者参与加强狼临床试验招聘
Saira Z Sheikh1, Tessa Englund1, Andrew Simkus2
1University of North Carolina at Chapel Hill.
Arthritis care & research
|August 23, 2024
概括
通过改善医疗保健提供者和社区卫生工作者的知识,TIMELY计划有效地增加了狼临床试验转诊率. 提供者自我效能和转诊患者的意图显著改善,在三个月后持续增长.
科学领域:
- 类风湿病学 类风湿病学
- 临床试验 临床试验
- 健康差异 在健康上的差异
背景情况:
- 少数群体在狼临床试验中的代表性不足仍然是一个重大挑战.
- 现有的教育举措,如MIMICT和LuCTT旨在解决这一差距.
- 时间计划是为了通过社区参与和结构化的讨论来加强这些倡议而开发的.
研究的目的:
- 评估 TIMELY 计划在增加代表性不足的患者转诊到狼临床试验方面的有效性.
- 评估"及时"对临床试验推行为预测指标的影响,包括知识,态度,自我效能和意图.
- 通过创新的圆桌会议形式,利用现有的在线教育工具.
主要方法:
- 采用在线预测和后测设计,测量提供者和社区卫生工作者 (CHW) 行为预测因素的变化.
- 参与者完成了MIMICT或LuCTT,随后参加了及时的圆桌会议.
- 配对的t测试被用来分析干预前后复合分数的变化.
主要成果:
- 干预后,提供者和CHW的知识分数显著增加.
- 在"及时"圆桌会议之后,医疗服务提供者在自我有效性和转诊患者的意图上显著增加.
- 在提供者自我有效性方面的这些改进在三个月的随访中得到了持续.
结论:
- 时间计划显示在提高狼临床试验转诊行为预测指标的承诺.
- 改善CHW知识和提供者知识,自我有效性和意图可以促进包括代表性不足的患者.
- 该计划的创新方法为改善少数群体在狼临床试验中的招生提供了机会.
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