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一个基于社区药房的计划,以提高乳腺癌幸存者对辅助内分泌治疗的坚持 (PACHA):试点集群随机对照试验的协议
Julie Lapointe1, Laurence Guillaumie1,2, Anne Dionne1,3,4
1CHU de Québec-Université Laval Research Center, Québec, QC, Canada.
Pilot and feasibility studies
|July 14, 2025
概括
这项试点研究测试了PACHA计划,这是一个社区药房干预措施,旨在改善乳腺癌幸存者的辅助内分泌疗法 (AET) 的坚持. 程序 程序 程序 的程序.
科学领域:
- 在瘤学瘤学.
- 药房实践 在药房实践中
- 公共卫生 公共卫生
背景情况:
- 辅助内分泌疗法 (AET) 对激素敏感乳腺癌至关重要,但面临的挑战是患者的坚持.
- 由于经常与患者接触和药物专业知识,社区药剂师处于有利地位,能够支持AET的遵守.
- 帕卡计划是一项基于社区药房的新干预计划,旨在提高AET遵守率和患者体验.
研究的目的:
- 评估实施PACHA计划的可接受性和可行性.
- 评估PACHA计划对AET坚持和患者结果的初步影响.
- 确定为PACHA计划进行大规模随机对照试验 (RCT) 的可行性.
主要方法:
- 一项试点集群随机对照试验 (RCT) 涉及66家药房及其患者处方AET.
- 干预组药房接受了培训,并使用了激励面试和基于证据的策略来管理AET的副作用.
- 通过在线问卷,日志,索赔记录和采访收集的数据,以评估可接受性,可行性和心理社会因素.
主要成果:
- 数据收集和分析正在进行中,预计初步调查结果将为计划的改进提供信息.
- 该研究旨在收集有关坚持,副作用管理和患者报告结果的数据.
结论:
- 结果将指导全面集群RCT的设计,以评估PACHA计划对遵守和成本的长期影响.
- 如果有效,PACHA计划有可能改善乳腺癌存活率并减少整体癌症负担.
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