CARD (Comfort Ask Relax Distract) 和社区药房疫苗接种:从一个集群随机试验的实施结果的评估
Anna Taddio1,2, James Morrison3, Charlotte Logeman4
1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Human vaccines & immunotherapeutics
|May 15, 2025
概括
舒适要求放松分散 (CARD) 系统通过支持患者应对来改善疫苗的输送. 这项研究发现,对于社区药房来说,CARD是可以接受的,可行的和时间中立的,支持其常规使用.
科学领域:
- 实施科学 实施科学
- 疫苗输送协议 疫苗输送协议
- 患者体验研究研究的研究.
背景情况:
- 舒适要求放松分散 (CARD) 系统是一个旨在增强疫苗接种体验的协议.
- 现有的疫苗输送方法可能无法充分解决患者的焦虑和应对.
- 改善患者应对能力可以带来更好的疫苗接种体验和潜在的更高的疫苗接种率.
研究的目的:
- 评估社区药房中CARD系统的实施成果.
- 评估CARD对医疗保健提供者和疫苗接种者的可接受性,可行性和影响.
- 确定实施战略是否有效地支持将CARD集成到常规实践中.
主要方法:
- 一个实用的混合有效性实施集群随机试验,涉及25家社区药房.
- 药房被随机分配到CARD系统或通常的护理 (控制).
- 实施策略包括网络研讨会,定制建议,更换设备,在线小组,审计/反和教育宣传. 使用了供应商调查,焦点小组,行政数据和收件人的反.
主要成果:
- 提供者调查和重点小组表明,CARD系统及其实施策略的接受度和可行性很高.
- 在CARD药房的疫苗接种者报告说,他们对患者互动的满意度更高,并发现系统是时间中立的.
- 行政数据显示,CARD应对检查清单的使用率为96%,90%的接种者提供疫苗接种后反.
结论:
- 对于社区药房来说,CARD系统是一个可接受和可行的协议.
- 实施策略在支持将CARD纳入实践方面是有效的.
- 这些发现支持对CARD系统的常规使用,以改善疫苗接种和患者体验.
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