在优化招聘和数据收集以药房为基础的实施试验中吸取的经验教训
Journal of the American Pharmacists Association : JAPhA
|November 5, 2025
概括
针对COVID-19疫苗犹咨询的实施试验面临药剂师参与和数据收集方面的挑战. 对研究设计和数据收集方法的修改显著改善了试验的成功.
科学领域:
- 实施科学 实施科学
- 公共卫生干预措施 公共卫生干预措施
- 药房实践的做法 在药房实践.
背景情况:
- 2023年秋季由国家卫生研究院资助的一项研究旨在加强药房的COVID-19疫苗犹咨询.
- 阶梯试验将标准实施与虚拟促进进行了比较,但在6至8周内遇到了显著的药剂师参与和数据收集问题.
研究的目的:
- 报告第一个试验年形成性评估结果.
- 详细介绍2024年秋季开发和实施的战略,以克服已识别的参与和数据收集障碍.
主要方法:
- 形成性评估使用了与药剂师的半结构面试和教练笔记的审查.
- 快速模板分析和与农村患者和实施科学专家咨询小组的商,以了解研究修改.
- 对研究修改的建议获得了资助人的批准.
主要成果:
- 障碍包括疫苗需求低,患者拒绝对音频录制进行忠实性评估,遭遇形式的困难,人员短缺以及药剂师不愿意向犹不决的患者提供咨询.
- 这些问题威胁到成功完成实施试验.
结论:
- 修改涉及调整数据收集 (例如,标准化患者忠诚度),药房招聘策略和标准实施方法 (增强培训和工具).
- 这些在试验新的一年 (2024年8月至2025年4月) 实施的变化,导致了研究参与和数据收集的大幅改善.
- 调查结果强调了适应性策略和利益相关者协作的重要性,以挽救面临环境挑战的实施试验.
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