在社区喘实践中为抗炎缓解剂治疗提供者实施工具的开发和可行性
Kaharu Sumino1, Alden D'Souza1, Hazel Tapp2
1Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, MO.
Respiratory medicine
|February 21, 2026
概括
我们开发了帮助医生使用抗炎缓解剂 (AIR) 治疗喘的工具. 试点测试表明,这些工具是可行的和可接受的,尽管采用障碍仍然存在.
科学领域:
- 肺部病理学 肺部病理学
- 喘管理 喘管理
- 实施科学 实施科学
背景情况:
- 指南推的抗炎缓解剂 (AIR) 治疗,使用吸入性皮质类固醇 (ICS) /formoterol或ICS与短效β-激动剂,在社区环境中吸收率较低.
- 为了解决这一问题,制定了AIR喘计划 (AIR-AP) 和实施策略,并对可行性和可接受性进行了试点测试.
研究的目的:
- 评估共同开发的工具和实施策略的可行性和可接受性,旨在增加社区喘护理中AIR治疗的采用.
主要方法:
- 使用了一种探索性顺序设计,涉及利益相关方的合作,以评估提供商的需求和共同开发支持工具.
- 试点测试是在3个不同的社区实践中进行的,持续了3-5个月.
- 使用性,可接受性和可行性通过问卷和与提供者和患者的采访来评估.
主要成果:
- 共同开发的多组件提供者支持工具包括AIR-AP,教学视频,患者选择工具,实施指南和培训材料.
- 工具在三个试点站点的七个参与供应商中通常是可行的和可以接受的.
- 持续存在的障碍包括有限的访问时间,沟通挑战,患者健康素养,犹不决的改变,以及机构传播不足.
结论:
- 为AIR采用共同开发的工具在社区实践环境中证明了可行性和可接受性.
- 未来的研究应该评估这些AIR采用工具的有效性和其他实施结果.
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