BABS (Becoming Active in Beating osteoarthritisS):一个集群随机对照试验,评估一项旨在改善荷兰全科医院骨关节炎护理和管理的宣传活动
J M H Oomen1,2, H J Schers2, E Das3
1Department of Research and Innovation, Sint Maartenskliniek, PO Box 9011, Nijmegen, 6500 GM, the Netherlands.
BMC primary care
|February 24, 2026
概括
对膝关节和关节骨关节炎 (KHOA) 患者和医疗保健提供者 (HCP) 使用行为改变技术 (BCT) 的信息宣传活动没有改变转诊模式. 然而,它可能会对KHOA护理中的治疗信念和身体活动产生积极的影响.
科学领域:
- 骨关节炎研究 骨关节炎研究
- 在医疗保健中的行为科学.
- 初级保健管理管理初级保健管理
背景情况:
- 膝关节和关节骨关节炎 (KHOA) 的管理通常涉及复杂的治疗决策.
- 在初级保健中优化非手术治疗的利用对于患者的治疗结果至关重要.
- 针对患者和医疗保健提供者 (HCP) 的信息宣传活动可以影响治疗信念和行为.
研究的目的:
- 用行为改变技术 (BCT) 评估信息活动的有效性.
- 评估这项运动对人们对KHOA非手术治疗的看法的影响.
- 确定该活动是否优化了在初级保健中非手术治疗的利用.
主要方法:
- 集群随机设计,将一般实践作为单位.
- 包括50-75岁的荷兰语患者,KHOA,不包括关节置换或明显的行走障碍.
- 主要结果:仅在初级保健中接受治疗的患者比例;次要结果:护理质量,治疗信念,身体活动,自我管理和HCP信念.
主要成果:
- 干预组显示了更多的初级保健限制治疗的趋势 (52%对41%),但在统计学上并不显著.
- 在6个月后,患者的体育活动信念和实际体育活动水平上观察到显著的积极影响.
- 干预组的医疗保健提供者表现出更积极的药物信仰.
结论:
- 基于BCT的信息宣传活动并没有显著改变KHOA.患者转诊模式.
- 该活动表明,该活动有可能对患者的治疗信念和身体活动产生积极影响.
- 可能需要进一步的研究来增强对推模式的影响,同时利用积极的信念变化.
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