针对医疗服务不足地区慢性疼痛的老年人进行心身活动计划的混合型1型有效性实施试验的协议:iHOPE研究
Clara Vonderheide1, Courtney Kilduff1, Katherine A McDermott2
1Center for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Contemporary clinical trials
|December 1, 2025
概括
这项研究评估了GetActive+,这是一种针对老年人,在服务不足的地区慢性疼痛的心身干预措施. 共享医疗访问旨在改善身体功能,并为疼痛管理提供可扩展的解决方案.
科学领域:
- 老年学是指老年学的学科.
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 在医疗服务不足的地区 (MUAs) 的老年人面临着慢性肌肉骨疼痛管理的重大障碍.
- 社区诊所的资源和时间有限,对这一群体的有效疼痛护理构成了挑战.
- 共享医疗访问为综合护理,教育和同行支持提供了一个有前途的模式.
研究的目的:
- 描述混合型1有效性实施随机对照试验 (RCT) 的协议.
- 将通过共享医疗访问提供的GetActive+干预与通常的治疗 (TAU) 进行比较.
- 评估对慢性疼痛的老年人进行心身和活动技能干预的有效性和实施.
主要方法:
- 招募200名英语和西班牙语的老年人从两个马萨诸塞州社区诊所在一个MUA.
- 评估基线,11周和6个月的多模体身体功能和心理社会结果.
- 采用混合方法在多个层面评估实施结果 (可行性,可接受性,忠实性,采用性).
主要成果:
- 该试验目前正在进行中,有54名老年人参加了试验.
- 21名参与者已经完成了干预后评估.
- 目前正在进行初步数据收集,以确定有效性和实施结果.
结论:
- 该研究协议概述了GetActive+干预措施的实施和评估.
- 结果将指导未来在全国社区诊所传播和实施这种方法.
- 共享医疗访问提供了一个可扩展的策略,以提高初级保健机构的慢性疼痛管理.
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