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社区参与早期干预中电子患者报告结局(e-PROs)的试点:经验教训。

Community engagement to pilot electronic patient-reported outcomes (e-PROs) in early intervention: Lessons learned.

作者信息

Rigau Briana L, Scully Elizabeth A, Dooling-Litfin Jodi K, Murphy Natalie J, McManus Beth M, Khetani Mary A

出版信息

J Clin Transl Sci. 2018 Feb;2(1):20-26. doi: 10.1017/cts.2018.15. Epub 2018 Jul 6.

Abstract

BACKGROUND

Electronic data capture is essential to advancing family-centered coordinated care in early intervention (EI). The purpose of this paper is to report on EI service coordinator response to piloting an electronic parent-reported outcome (e-PRO) assessment as part of their routine workflow, including lessons learned that may inform future phases of e-PRO implementation.

METHODS

This second pilot study involved families enrolled in a large EI program (n=1040 families) in concert with their implementation of a statewide quality improvement initiative for care plan development and outcomes reporting. A total of 22 EI service coordinators and supervisors were engaged in three phases: initial e-PRO intervention, peer mentor enhancement, and standard recruitment protocol.

RESULTS

Implementation of the e-PRO intervention and peer mentoring enhancement yielded low enrollment rates over the first six months (n=17). A standard recruitment protocol has resulted in enrollment growth (n=83) towards the targeted enrollment rate (n=832).

CONCLUSIONS

This study reports on early insights for building and sustaining a productive academic-community partnership for e-PRO implementation to support family-centered coordinated care. Lessons learned from this academic-community partnership with respect to strategies for enhancing community significance, collaboration, return, and control are discussed as they inform further development of this intervention prior to scale-up.

摘要

背景

电子数据采集对于推进早期干预(EI)中以家庭为中心的协调护理至关重要。本文旨在报告EI服务协调员对试点电子家长报告结局(e-PRO)评估作为其常规工作流程一部分的反应,包括可能为e-PRO实施的未来阶段提供信息的经验教训。

方法

这项第二项试点研究涉及参与一个大型EI项目的家庭(n = 1040个家庭),同时实施一项全州范围的护理计划制定和结局报告质量改进计划。共有22名EI服务协调员和主管参与了三个阶段:初始e-PRO干预、同伴导师强化和标准招募方案。

结果

在最初的六个月里,e-PRO干预和同伴指导强化的实施导致登记率较低(n = 17)。一项标准招募方案使登记人数朝着目标登记率(n = 832)增长(n = 83)。

结论

本研究报告了为实施e-PRO建立和维持富有成效的学术-社区伙伴关系以支持以家庭为中心的协调护理的早期见解。讨论了从这种学术-社区伙伴关系中学到的关于增强社区意义、协作、回报和控制的策略,因为它们为扩大规模之前该干预措施的进一步发展提供了信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/976d/6798974/46dffd50122b/S2059866118000158_fig1.jpg

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