远程合作接触农村慢性疼痛患者:CORPs研究的实用有效性试验协议
Benjamin J Morasco1,2, Natassja Pal1,2, Sarah S Ono1,2
1Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR 97239, United States.
Pain medicine (Malden, Mass.)
|November 8, 2024
概括
这项研究测试了农村退伍军人患有慢性疼痛的远程协作护理计划. 农村患者的远程协作接触 (CORPs) 干预改善了疼痛干扰,为服务不足的人口提供了可扩展的解决方案.
科学领域:
- 农村卫生 农村卫生
- 慢性疼痛管理 慢性疼痛管理
- 远程医疗干预 远程医疗干预
背景情况:
- 在农村地区,获得基于证据的慢性疼痛治疗的机会有限.
- 退伍军人经常面临复杂的医疗保健系统导航挑战.
- 高冲击性慢性疼痛显著影响生活质量.
研究的目的:
- 评估远程提供协作护理干预措施对农村环境中高影响性慢性疼痛退伍军人的有效性.
- 改善疼痛干扰作为主要结果.
- 检查女性退伍军人和来自少数种族或少数民族的退伍军人的治疗效应异质性.
主要方法:
- 一个四个地点的实用有效性试验,涉及608名参与者.
- 随机化到远程合作接触农村患者 (CORPs) 干预或最小增强常规护理 (MEUC).
- CORPs包括生物心理社会评估,护士护理经理会议和虚拟疼痛教育;MEUC涉及一个单一的教育会议.
主要成果:
- 该研究旨在评估疼痛干扰的主要结果.
- 过度采样女性退伍军人和少数种族或族群将允许治疗效果分析的异质性.
- 将进行实施过程评估和成本效益分析.
结论:
- 这项实用性试验将确定慢性疼痛远程协作护理模型的现实有效性.
- 预计这些发现将指导未来的实施策略,以便广泛采用.
- 该研究旨在提高农村退伍军人获得有效疼痛管理的机会.
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