Division of Psychiatry,UCL,London,UK.
Int Psychogeriatr. 2018 May;30(5):769-773. doi: 10.1017/S1041610217002307. Epub 2017 Nov 7.
ABSTRACTWe recruited eight general practice (GP) practices for a pilot cluster randomized controlled trial (RCT) of a digital versatile disc/leaflet encouraging South Asian people to seek timely help for memory problems. Primary outcomes were feasibility (proportion of patients expressing interest, consenting) and acceptability. Seventy-eight of one hundred and two (76%) potential participants consented; 76/78 (97%) were followed-up. Thirty-seven of forty-one (90%) receiving the intervention rated this acceptable. Only 17/41 (41%) accessed it; they appeared then to be more likely to seek timely help. The intervention was acceptable and feasible but a full-scale RCT would be very expensive. It may be proportionate to make this intervention available without a full-scale RCT.
我们招募了 8 家全科医疗(GP)诊所,参与一项针对南亚人群记忆问题的数字多功能光盘/传单的试点性集群随机对照试验(RCT),以鼓励他们及时寻求帮助。主要结果是可行性(表示有兴趣、同意的患者比例)和可接受性。在 102 名潜在参与者中,有 78 名(76%)同意参与;78 名中有 76 名(97%)得到了随访。在接受干预的 41 人中,有 37 人(90%)认为这是可以接受的。只有 17 人(41%)使用了该干预措施;他们似乎更有可能及时寻求帮助。该干预措施是可行且可接受的,但进行全面的 RCT 将非常昂贵。不进行全面的 RCT 而提供这种干预措施可能是合理的。