复杂排放规划干预 (HOME康复) 的嵌套过程评估的研究协议,以改善第一次中风后的参与
Sandra Reeder1, Mandy Stanley2, Laura J Jolliffe3,4
1Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.
Frontiers in neurology
|January 27, 2025
概括
本研究概述了HOME康复试验的过程评估协议,旨在改善中风幸存者过渡到家中的职业治疗. 调查结果将为未来的实施和政策提供信息,以改善患者的治疗结果.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 职业疗法 职业疗法 职业疗法
背景情况:
- 脑卒中是成年人残疾的主要原因,在从医院到家庭过渡期间存在重大挑战.
- 有效的出院规划和支持干预措施对于中风幸存者的康复至关重要.
- 过程评估对于理解和优化复杂的健康干预措施至关重要.
研究的目的:
- 描述HOME康复试验过程评估的协议.
- 评估针对中风幸存者的定制职业治疗干预措施的可行性和有效性.
- 为未来扩大规模,政策和实践提供HOME康复干预的信息.
主要方法:
- 混合方法方法整合了定量 (调查,日志,检查清单) 和定性 (采访,焦点小组) 数据.
- 使用RE-AIM框架进行全面的数据解释.
- 同时三角测量以相互验证来自多个数据源的发现.
主要成果:
- 数据收集包括临床调查,试验日志,忠诚度检查清单,招聘号码,参与者/护理人员访谈和治疗师焦点小组.
- 该RE-AIM框架将指导定量和定性发现的整合和解释.
- 分析将确定影响干预结果的因果机制和上下文因素.
结论:
- 过程评估是优化实施家庭康复干预的关键.
- 结果将解释试验结果,并指导未来的实施策略.
- 这项评估支持基于证据的实践和中风康复政策制定.
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