探索成人日间课程的使用模式和影响,以改善持续护理的轨迹 (EXPEDITE):回顾性队列研究的协议
Matthias Hoben1,2, Colleen J Maxwell3,4, Andrea Ubell5,6
1School of Health Policy and Management, Faculty of Health, York University, Toronto, ON, Canada.
JMIR research protocols
|August 30, 2024
概括
这项研究调查了成人日间节目对加拿大老年人的影响,比较了与会者和非与会者,以评估对护理需求和健康结果的影响.
科学领域:
- 老年学和卫生服务研究研究
- 社区为老年人提供基于社区的护理.
- 纵向健康结果分析分析
背景情况:
- 成人日间计划为老年人和护理人员提供重要支持,与社区护理的优先事项保持一致.
- 现有的关于日间课程有效性的研究是不一致的,缺乏强有力的纵向证据.
- 大部分养老院居民可能有需要,可以通过社区支持,如日间项目来解决.
研究的目的:
- 为了比较加拿大各省 (阿尔伯塔省,不列颠哥伦比亚省,曼尼托巴省) 和随着时间的推移,成年人日间节目使用的模式.
- 分析老年人的特征,根据他们的日程使用,省份和时间.
- 评估成年人日间节目对与会者的影响,与社区中非与会者的匹配队列相比.
主要方法:
- 使用临床和卫生行政数据 (2012-2024) 对65岁以上的成年人进行基于人口的回顾性队列研究.
- 日间节目使用模式和老年人特征 (残疾,剥夺,照顾者因素) 在各省和时间的比较.
- 倾向性得分匹配用于比较日间节目与会者与社区居住的非与会者,使用时间到事件模型和GEE.
主要成果:
- 研究时间:2024年7月1日至2027年6月30日.
- 获得了伦理审批;数据访问和与省级卫生系统的联系将于2024年7月1日开始.
- 预计数据分析将于2025年初开始.
结论:
- 这项研究旨在提供强有力的加拿大证据,证明成人日间节目对老年人和护理人员的影响.
- 调查结果将有助于改善日间课程内的护理质量.
- 最终,这项研究旨在通过更好的社区支持来提高老年人和他们的照顾者的生活质量.
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