对患者报告的阿片类药物使用障碍恢复结果措施的系统审查
Jarratt D Pytell1,2,3, Dennis Pales1, Caty Simon4,5,6
1Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Addiction (Abingdon, England)
|October 21, 2025
概括
对阿片类药物使用障碍 (OUD) 恢复的患者报告的结果措施 (PROM) 是众多的,但对于临床使用往往不是务实的. 很少有PROM是短暂的,定义了临床相关的变化,或涉及有生活经验的个人.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 针对阿片类药物使用障碍 (OUD) 的以康复为重点的基于测量的护理 (MBC) 可以通过患者报告的结果测量 (PROM) 增强临床实践.
- 确定OUD恢复的验证PROM对于评估患者的进展和告知治疗至关重要.
研究的目的:
- 确定和描述验证的PROM,评估OUD患者的康复情况.
- 专注于PROM特征,恢复领域及其适用于门诊机构的适用性.
主要方法:
- 根据基于共识的健康测量仪器选择标准 (COSMIN) 的指导方针进行了系统审查.
- 包括经过验证的PROM,评估至少17个恢复领域中的一个,并且有不到50个项目.
- 分析了PROM特征,内容有效性,恢复领域以及临床相关的得分变化.
主要成果:
- 在122项研究中确定了90个独特的PROM;只有3%的内容有效性"适度".
- PROMs评估了4个恢复领域的中位数,其中物质使用,心理健康,人际关系和身体健康是最常见的.
- 很少有PROM (21%) 是简短的 (<10个项目),16%是全面的 (≥8个领域),只有2%的参与者具有实践经验.
结论:
- 对于OUD恢复,有许多PROM存在,涵盖了各种领域.
- 然而,由于长度,缺乏定义的临床相关得分变化以及有限的以患者为中心的开发,很少有PROM用于临床使用.
- 需要进一步开发,以创建OUD恢复护理的简短,信息化和以患者为中心的PROM.
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