远程与面对面的骨关节炎管理计划 (COASTAL) 的比较协议:一个随机实施试验
Shiwen Yuan1,2, Jocelyn L Bowden1,3, Jillian P Eyles1,3
1Sydney Musculoskeletal Health, Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Osteoarthritis and cartilage open
|July 23, 2025
概括
这项研究比较了面对面,远程医疗和移动应用程序的骨关节炎 (OA) 护理. 研究结果将为患者和医疗保健提供者提供最佳的OA管理策略.
科学领域:
- 风湿病学和肌肉骨健康
- 数字健康干预措施 数字健康干预措施
- 实施科学 实施科学
背景情况:
- 骨关节炎 (OA) 管理需要有效的,可访问的护理提供模式.
- 现实世界的环境需要对慢性疾病的不同护理方式进行评估.
- 比较有效性研究对于优化医疗保健资源配置至关重要.
研究的目的:
- 为了比较三个OA护理交付方法的有效性:面对面,远程医疗和移动应用程序.
- 在现实世界的临床环境中评估这些干预措施.
- 为OA护理提供提供证据,以便在OA护理提供中做出知情决策.
主要方法:
- 一个三臂,非劣势,比较有效性,混合实施随机对照试验 (RCT) 命名为COASTAL.
- 招募了1348名膝关节OA参与者,随机分配到面对面的护理,远程医疗或"OA教练"应用程序6个月.
- 二级目标包括一个优越性试验,将干预措施与未接受治疗的对照组进行比较,在6个月和12个月后评估结果.
主要成果:
- 主要结局:在6个月 (11-点数值评分尺度) 走路时平均膝盖疼痛的变化.
- 二次结果包括实施,经济评估和患者报告的措施.
- 在干预后6个月和12个月收集数据.
结论:
- 试验结果将为提供膝关节OA护理的选择提供信息.
- 证据将指导患者,临床医生和决策者在最佳护理方式上.
- 这项研究支持将数字和远程健康服务整合到OA管理中.
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