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研究倡导者对将研究整合到心理健康临床实践中有何影响?英国伦敦南部的一项准实验研究。

What is the impact of research champions on integrating research in mental health clinical practice? A quasiexperimental study in South London, UK.

作者信息

Oduola Sherifat, Wykes Til, Robotham Dan, Craig Tom K J

机构信息

Department of Health Service and Population Research, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.

South London and Maudsley NHS Foundation Trust, NIHR Maudsley Biomedical Research Centre, London, UK.

出版信息

BMJ Open. 2017 Sep 11;7(9):e016107. doi: 10.1136/bmjopen-2017-016107.

Abstract

OBJECTIVES

Key challenges for mental health healthcare professionals to implement research alongside clinical activity have been highlighted, such as insufficient time to apply research skills and lack of support and resources. We examined the impact of employing dedicated staff to promote research in community mental health clinical settings.

DESIGN

Quasiexperiment before and after study.

SETTING

South London and Maudsley National Health Service Foundation Trust.

PARTICIPANTS

4455 patients receiving care from 15 community mental health teams between 1 December 2013 and 31 December 2014.

OUTCOME MEASURES

The proportion of patients approached for research participation in clinical services where research champions were present (intervention group), and where research champions were not present (comparison group).

RESULTS

Patients in the intervention group were nearly six times more likely to be approached for research participation (Adj. OR=5.98; 95% CI 4.96 to 7.22).

CONCLUSIONS

Investing in staff that promote and drive research in clinical services increases opportunities for patients to hear about and engage in clinical research studies. However, investment needs to move beyond employing short-term staff.

摘要

目标

心理健康护理专业人员在临床工作中开展研究面临诸多关键挑战,如应用研究技能的时间不足、缺乏支持和资源等。我们研究了聘用专职人员以促进社区心理健康临床机构开展研究的影响。

设计

前后对照的准实验研究。

地点

南伦敦和莫兹利国民保健服务基金会信托机构。

参与者

2013年12月1日至2014年12月31日期间,接受15个社区心理健康团队护理的4455名患者。

观察指标

在有研究促进者的临床服务(干预组)和没有研究促进者的临床服务(对照组)中,被邀请参与研究的患者比例。

结果

干预组患者被邀请参与研究的可能性几乎是对照组的6倍(调整后比值比=5.98;95%置信区间4.96至7.22)。

结论

在临床服务中投资聘用促进和推动研究的人员,可增加患者了解并参与临床研究的机会。然而,投资不能仅局限于聘用短期工作人员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d54/5595181/2e3bfcff2d26/bmjopen-2017-016107f01.jpg

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