公平使用疼痛和抑郁症干预措施 (EQUIPD):一个试点随机试验.
Marianne S Matthias1, Diana J Burgess2, Joanne K Daggy3
1Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States; VA HSR Center for Health Information and Communication, Indianapolis, IN, United States; Regenstrief Institute, Indianapolis, IN, United States.
The journal of pain
|February 26, 2025
概括
一项试点研究发现,公平使用疼痛和抑郁症干预措施 (EQUIPD) 辅导干预措施对患有慢性疼痛和抑郁症的黑人患者是可行的. 它在改善共享决策和相关健康结果方面表现有前途.
科学领域:
- 健康 公平 研究 健康 公平 研究
- 临床干预研究 临床干预研究
- 以患者为中心的护理
背景情况:
- 黑人患者在疼痛管理方面面临差异,接受治疗选择较少,与临床医生沟通较差.
- 伴随性抑郁症状可能会对疼痛管理和患者参与治疗决策产生负面影响.
- 改善疼痛治疗中的健康公平需要解决沟通障碍并加强共享决策.
研究的目的:
- 检查公平使用疼痛和抑郁症干预措施 (EQUIPD) 试点研究的可行性.
- 评估一对一的辅导干预,并配合决策辅助,以共享决策.
- 支持患有慢性疼痛和抑郁症状的黑人患者选择非药物治疗.
主要方法:
- 招募并随机选择了30名黑人患者,他们患有慢性肌肉骨疼痛和抑郁症状.
- 干预包括一对一的指导和决策辅助,以促进共享决策.
- 评估可行性指标,如招聘率,保留率和干预参与率.
主要成果:
- 高保留率 (90%在3个月,87%在6个月) 和干预参与 (94%完成≥3次会议).
- 通过高招聘率和忠诚度证明了可行性.
- 初步结果显示,疼痛干扰,抑郁,焦虑,患者参与和共享决策的改善 (效果大小在3个月0.30-0.75).
结论:
- 对于患有慢性疼痛和抑郁症状的黑人患者来说,EQUIPD干预是可行的.
- 该干预措施在加强自治和共享决策方面显示出前景.
- 结果支持对EQUIPD进行进一步的研究,以改善该群体的疼痛和相关结果.
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