使用数字健康平台在联邦资格医疗中心内实施多组件CRC查干预:混合型I型试验的研究协议
Leah Frerichs1,2, Zhang Zhang3,4, Alexis A Moore4
1Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. leahf@unc.edu.
BMC health services research
|August 9, 2025
概括
这项研究将测试mPATH®CRC,一个数字工具,以提高联邦合格卫生中心 (FQHCs) 的结直肠癌 (CRC) 查率. 目标是通过创新推广,提高服务不足人群的查完成率.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 预防癌症 预防癌症
背景情况:
- 联邦合格卫生中心 (FQHC),特别是在农村地区,由于资源有限和患者参与,在实现高结肠直肠癌 (CRC) 查率方面面临挑战.
- 像mPATH®CRC这样的移动健康 (mHealth) 解决方案提供了一个潜在的策略,通过自动化任务和扩大CRC查患者接触范围来克服这些障碍.
研究的目的:
- 评估mPATH®CRC干预措施在提高FQHC内CRC查完成率方面的有效性.
- 评估mPATH®CRC的实施过程,包括其整合到临床工作流程和资源有限的环境中的可持续性.
主要方法:
- 一个为期三年的患者级随机对照试验 (RCT),采用1型混合疗效实施设计.
- 预计要进行CRC查的1000名平均风险患者将被随机分配1:1接受通常的护理或mPATH®CRC干预 (短信,多媒体教育,FIT套件或结肠镜调度协助).
- 一种融合的混合方法设计将包括调查和采访FQHC人员,以评估实施.
主要成果:
- 主要结局是在随机化后六个月内完成任何CRC查测试.
- 实施成果将探索将mPATH®CRC集成到临床工作流程中,并确定可持续性挑战.
结论:
- 这项试验将为在资源有限的FQHC环境中实施数字CRC查干预措施的有效性和实施提供关键的见解.
- 预计这些发现将为优化数字外展和扩大在类似环境中成功实施的战略提供信息.
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