由牙科护士进行的复杂的行为改变干预:混合方法对RETURN干预的忠实性评估
V Lowers1, P Christiansen2, B Young3
1Department of Public Health, Policy and Systems, Institute of Population Health, University of Liverpool, Liverpool, L69 3GL, UK. v.lowers@liverpool.ac.uk.
Trials
|May 13, 2025
概括
牙科护士可以提供行为改变干预措施,以促进牙科访问高准确度. 这支持了RETURN试验的科学有效性,减少了口腔健康的不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
- 牙科公共卫生 牙科公共卫生
背景情况:
- 牙科环境中的行为改变干预可以减少口腔健康的不平等.
- 实用随机对照试验需要强大的干预忠实性才能有效.
- 在RETURN的干预旨在促进计划的牙医访问.
研究的目的:
- 评估牙科护士提供的RETURN干预的干预忠实性.
- 评估在牙科环境中进行行为改变干预的培训和交付.
主要方法:
- 使用混合方法设计,遵循NIH行为变化联盟框架.
- 分析了来自培训的定量数据和来自观察,采访和音频录制的定性数据.
- 使用了描述性统计,后勤回归和反射主题分析.
主要成果:
- 牙科护士得到了成功的培训,提供了标准化交付和尽量减少技能漂移.
- 实现了高干预忠实度 (75-85%),尽管并非所有护士都达到独立能力.
- 护士的特点,干预者,剂量和主题影响了培训和交付忠诚度.
结论:
- 牙科护士可以接受培训,在临床职责的同时,有效地提供行为改变干预措施.
- 高干预准确性为RETURN试验的科学有效性提供了保证.
- 该研究讨论了牙科护士在未来的牙科试验中作为干预者的适用性.
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