干预交付的复杂性和适应性,以实施非药物治疗疼痛干预措施
Lindsay A Ballengee1,2,3, Maggie E Horn1,2, Trevor A Lentz1,2,3
1Duke University School of Medicine, Department of Population Health Sciences, 215 Morris Street, Durham, NC, 27701, USA.
在实用试验中实施非药理性疼痛干预措施存在独特的挑战. 虽然整体干预交付的复杂性相似,但疼痛试验显示了更多的工作流适应,突出了现实环境中的实施障碍.
科学领域:
- 临床研究 临床研究
- 实施科学 实施科学
- 疼痛管理 疼痛管理
背景情况:
- 为慢性肌肉骨疼痛提供基于证据的干预措施是具有挑战性的,因为复杂性和资源需求.
- 建议使用非药物治疗方法,但很难实施.
- 实用试验,特别是嵌入式设计,评估现实世界的干预实施和适应.
研究的目的:
- 探索干预交付复杂性的差异和非药理性疼痛试验和非疼痛试验之间的适应.
- 为未来的治疗提供和实施策略提供指导.
- 了解在现实环境中实施复杂干预的挑战.
主要方法:
- 一项在线调查评估了干预交付的复杂性和实用试验中的适应性.
- 参与者使用7项工具对复杂性进行了评分,并报告了调整.
- 数据比较了疼痛和非疼痛试验之间的复杂性和适应性.
主要成果:
- 疼痛和非疼痛试验之间的干预交付复杂性没有明显不同,尽管疼痛试验的整体复杂性略高.
- 与非疼痛试验相比,疼痛试验在工作流域中报告了更多的适应.
- 工作流是所有试验中适应最具挑战性的领域.
结论:
- 与非疼痛试验相比,研究非药理性疼痛干预措施的实证试验在特定领域的干预交付复杂性可能略高.
- 工作流适应是以疼痛为中心的实用试验中差异和挑战的关键领域.
- 研究结果为优化复杂,非药物治疗疼痛干预措施的实施提供了洞察力.
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