负担得起的心脏康复 推广跨学科战略研究 (ACROSS) - 研究计划协议
Rod S Taylor1, Imran Bashir Chaudhry2,3,4, Mithila Faraque5
1School of Health and Wellbeing, University of Glasgow College of Medical Veterinary and Life Sciences, Glasgow, Scotland, G12 8TA, UK.
NIHR open research
|June 18, 2025
概括
低收入国家缺乏心脏康复 (CR). 在ACROSS研究共同开发一个负担得起的,基于家庭的心脏病和抑郁症的CR计划,评估其在南亚的有效性和可扩展性.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 低收入和中等收入国家 (LMICs) 的心脏康复 (CR) 服务和基础设施有限,阻碍了获得重要护理的机会.
- 基于家庭的CR计划提供了一个可扩展和负担得起的解决方案,以增加LMICs中的CR可访问性.
- 该ACROSS研究解决了这一差距,专注于心脏病的多病症和LMICs中存在的抑郁症/焦虑症.
研究的目的:
- 为心脏病患者和同时存在的抑郁/焦虑症患者共同开发一个文化和上下文相适应,负担得起的家庭CR计划.
- 评估这种家庭CR计划的可接受性,临床有效性和成本效益.
- 确定在孟加拉国,印度和巴基斯坦开发的CR模型的可扩展性和可持续性.
主要方法:
- 该研究采用通过四个工作包 (WP) 的分阶段方法.
- 工作组1侧重于共同开发一个文化适应的家庭康复计划,解决障碍和促进因素.
- WP2进行外部试点,以评估可行性和可接受性,随后进行混合有效性-实施随机试验 (WP3) 和能力建设 (WP4).
主要成果:
- 该ACROSS计划旨在为低资源环境开发一种临床和成本效益的CR模型.
- 该研究将为复杂的患者群体提供家庭CR的有效性和实施数据.
- 预期的好处包括目标地区患者的健康和社会经济结果的大幅改善.
结论:
- ACROSS计划旨在为LMICs建立一个可持续和有效的家庭CR模型.
- 这一举措有可能在资源有限的环境中显著改善心血管保健和心理健康支持.
- 成功实施可能会为孟加拉国,印度和巴基斯坦的患者和社区带来相当大的健康和社会经济效益.
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