一项针对初级医疗保健专业人员的虚拟干预措施的效果，旨在改善对慢性病患者赋权的态度：一项整群随机对照试验的研究方案（e-MPODERA项目）
Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project).
作者信息
González-González Ana Isabel, Orrego Carola, Perestelo-Perez Lilisbeth, Bermejo-Caja Carlos Jesús, Mora Nuria, Koatz Débora, Ballester Marta, Del Pino Tasmania, Pérez-Ramos Jeannet, Toledo-Chavarri Ana, Robles Noemí, Pérez-Rivas Francisco Javier, Ramírez-Puerta Ana Belén, Canellas-Criado Yolanda, Del Rey-Granado Yolanda, Muñoz-Balsa Marcos José, Becerril-Rojas Beatriz, Rodríguez-Morales David, Sánchez-Perruca Luis, Vázquez José Ramón, Aguirre Armando
机构信息
Centro de Salud Vicente Muzas, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Vicente Muzas 8, 28043, Madrid, Spain.
Instituto Universitario Avedis Donabedian, Universidad Autónoma de Barcelona, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Provença 293 pral, 08037, Barcelona, Spain.
出版信息
Trials. 2017 Oct 30;18(1):505. doi: 10.1186/s13063-017-2232-9.
BACKGROUND
Communities of practice are based on the idea that learning involves a group of people exchanging experiences and knowledge. The e-MPODERA project aims to assess the effectiveness of a virtual community of practice aimed at improving primary healthcare professional attitudes to the empowerment of patients with chronic diseases.
METHODS
This paper describes the protocol for a cluster randomized controlled trial. We will randomly assign 18 primary-care practices per participating region of Spain (Catalonia, Madrid and Canary Islands) to a virtual community of practice or to usual training. The primary-care practice will be the randomization unit and the primary healthcare professional will be the unit of analysis. We will need a sample of 270 primary healthcare professionals (general practitioners and nurses) and 1382 patients. We will perform randomization after professionals and patients are selected. We will ask the intervention group to participate for 12 months in a virtual community of practice based on a web 2.0 platform. We will measure the primary outcome using the Patient-Provider Orientation Scale questionnaire administered at baseline and after 12 months. Secondary outcomes will be the sociodemographic characteristics of health professionals, sociodemographic and clinical characteristics of patients, the Patient Activation Measure questionnaire for patient activation and outcomes regarding use of the virtual community of practice. We will calculate a linear mixed-effects regression to estimate the effect of participating in the virtual community of practice.
DISCUSSION
This cluster randomized controlled trial will show whether a virtual intervention for primary healthcare professionals improves attitudes to the empowerment of patients with chronic diseases.
TRIAL REGISTRATION
ClicalTrials.gov, NCT02757781 . Registered on 25 April 2016. Protocol Version. PI15.01 22 January 2016.
背景
实践社区基于这样一种理念，即学习涉及一群人交流经验和知识。电子MPODERA项目旨在评估一个虚拟实践社区的有效性，该社区旨在改善初级医疗保健专业人员对慢性病患者赋权的态度。
方法
本文描述了一项整群随机对照试验的方案。我们将把西班牙每个参与地区（加泰罗尼亚、马德里和加那利群岛）的18个初级保健机构随机分配到一个虚拟实践社区或常规培训组。初级保健机构将作为随机分组单位，初级医疗保健专业人员将作为分析单位。我们将需要270名初级医疗保健专业人员（全科医生和护士）和1382名患者作为样本。在选定专业人员和患者后进行随机分组。我们将要求干预组在一个基于网络2.0平台的虚拟实践社区中参与12个月。我们将使用在基线和12个月后进行的患者-提供者导向量表问卷来测量主要结局。次要结局将包括卫生专业人员的社会人口统计学特征、患者的社会人口统计学和临床特征、用于评估患者赋权的患者激活量表问卷以及与虚拟实践社区使用情况相关的结局。我们将计算线性混合效应回归以估计参与虚拟实践社区的效果。
讨论
这项整群随机对照试验将表明，针对初级医疗保健专业人员的虚拟干预是否能改善对慢性病患者赋权的态度。
试验注册
ClinicalTrials.gov，NCT02757781。于2016年4月25日注册。方案版本。PI15.01，2016年1月22日。
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