针对卫生专业人员开展在线继续教育以改善慢性疲劳综合征管理的随机对照试验：研究方案

Randomised controlled trial of online continuing education for health professionals to improve the management of chronic fatigue syndrome: a study protocol.

作者信息

Li Sophie H, Sandler Carolina X, Casson Sally M, Cassar Joanne, Bogg Tina, Lloyd Andrew R, Barry Benjamin K

机构信息

School of Medical Sciences, University of New South Wales, Sydney, Australia.

School of Psychology, The University of New South Wales, Sydney, Australia.

出版信息

BMJ Open. 2017 May 10;7(5):e014133. doi: 10.1136/bmjopen-2016-014133.

DOI:10.1136/bmjopen-2016-014133

PMID:28495811

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5541332/

Abstract

INTRODUCTION

Chronic fatigue syndrome (CFS) is a serious and debilitating illness that affects between 0.2%-2.6% of the world's population. Although there is level 1 evidence of the benefit of cognitive behaviour therapy (CBT) and graded exercise therapy (GET) for some people with CFS, uptake of these interventions is low or at best untimely. This can be partly attributed to poor clinician awareness and knowledge of CFS and related CBT and GET interventions. This trial aims to evaluate the effect of participation in an online education programme, compared with a wait-list control group, on allied health professionals' knowledge about evidence-based CFS interventions and their levels of confidence to engage in the dissemination of these interventions.

METHODS AND ANALYSIS

A randomised controlled trial consisting of 180 consenting allied health professionals will be conducted. Participants will be randomised into an intervention group (n=90) that will receive access to the online education programme, or a wait-list control group (n=90). The primary outcomes will be: 1) knowledge and clinical reasoning skills regarding CFS and its management, measured at baseline, postintervention and follow-up, and 2) self-reported confidence in knowledge and clinical reasoning skills related to CFS. Secondary outcomes include retention of knowledge and satisfaction with the online education programme. The influence of the education programme on clinical practice behaviour, and self-reported success in the management of people with CFS, will also be assessed in a cohort study design with participants from the intervention and control groups combined.

ETHICS AND DISSEMINATION

The study protocol has been approved by the Human Research Ethics Committee at The University of New South Wales (approval number HC16419). Results will be disseminated via peer-reviewed journal articles and presentations at scientific conferences and meetings.

TRIAL REGISTRATION

ACTRN12616000296437.

摘要

引言

慢性疲劳综合征（CFS）是一种严重且使人衰弱的疾病，影响着全球0.2%至2.6%的人口。尽管有一级证据表明认知行为疗法（CBT）和分级运动疗法（GET）对一些慢性疲劳综合征患者有益，但这些干预措施的采用率很低，或者最多只是不及时。这部分可归因于临床医生对慢性疲劳综合征以及相关认知行为疗法和分级运动疗法干预措施的认识和了解不足。本试验旨在评估与等待名单对照组相比，参与在线教育项目对专职医疗人员关于循证慢性疲劳综合征干预措施的知识以及他们开展这些干预措施传播工作的信心水平的影响。

方法与分析

将开展一项随机对照试验，纳入180名同意参与的专职医疗人员。参与者将被随机分为干预组（n = 90），可访问在线教育项目，或等待名单对照组（n = 90）。主要结局将是：1）在基线、干预后和随访时测量的关于慢性疲劳综合征及其管理的知识和临床推理技能，以及2）自我报告的与慢性疲劳综合征相关的知识和临床推理技能的信心。次要结局包括知识的保留以及对在线教育项目的满意度。还将在一项队列研究设计中评估教育项目对临床实践行为的影响，以及自我报告的慢性疲劳综合征患者管理方面的成功情况，该研究设计将干预组和对照组的参与者合并。