一种护理导航干预措施的集群随机化,混合型1有效性-实施试验的设计,以增加物质使用障碍治疗参与度:研究协议
Theresa E Matson1, Mia A Navarro2, Abisola Idu3
1Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste. 1300, Seattle, WA, 98101, USA. tessa.e.matson@kp.org.
Addiction science & clinical practice
|October 2, 2025
概括
护理导航通过解决患者障碍,显著改善物质使用障碍 (SUD) 治疗参与度. 这项研究评估了其在现实世界医疗保健环境中的有效性和实施.
科学领域:
- 医疗保健提供研究 医疗保健研究
- 实施科学 实施科学
- 心理社会干预措施 心理社会干预
背景情况:
- 药物使用障碍 (SUD) 治疗参与受到实际和动机障碍的阻碍.
- 护理导航是一种心理社会干预,旨在克服这些障碍,并促进及时获得护理.
- 关于护理导航在现实世界医疗保健及其实施过程中的有效性存在有限的研究.
研究的目的:
- 评估护理导航在增加寻求SUD治疗的患者治疗参与度方面的有效性.
- 在临床环境中检查护理导航的实施过程.
- 评估护理导航对克服SUD治疗患者特定障碍的影响.
主要方法:
- 一个混合型I集群随机有效性实施试验 (解决治疗物质使用障碍障碍的障碍 - ABC-SUD研究).
- 两期,两序交叉设计,临床医生随机在第一或第二个研究期间提供护理导航.
- 护理导航包括长达7周的动机支持,解决问题的障碍,并适应患者的偏好. 主要结局:SUD治疗参与 (48天内≥3次访问).
主要成果:
- 主要结果,SUD治疗参与度,通过EHR和保险索赔来衡量.
- 实施策略包括领导参与,工作流规范,电子健康记录工具,培训,绩效改进和电子学习协作.
- 标准化措施评估了实施气候和结果,以了解干预机制.
结论:
- 该ABC-SUD研究将确定护理导航是否提高SUD治疗参与度.
- 这项研究将提供关键数据,关于在医疗保健中实施护理导航.
- 这些发现将有助于将护理导航纳入SUD治疗的常规临床实践.
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